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Prnn: 1Q/04/7.006 09:26 N003 P. 002/002 <br /> ,�� PERINIIT APPLICATION <br /> CITY OF EVERIETT PERMIT S�RVICES <br /> .._ 3200 CEDAR STREET, EVERETT, WA. 98201, 425-257-8810 <br /> 1U04U6 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> �51'_0 D[AUMON7'DR 7tC, EVEAET'f, �VA 48203 00767500000300 /J���'� �i.; ; <br /> %/ �. <br /> LEGAL LOT NO. BLOCY. TRACT <br /> OWNER ADDRESS PHONE <br /> ��tARCI l,COLLFBN 5120 AF.AIMONT Dlt fIC � <br /> • GVERBTT,NA 9R203 (a_5)259-074G <br /> TENANT NAME CONTACT NAME PHONE <br /> �4AITfNG RER(NG 32)Sol! pAMI>I.A 1-IILL 425 814•3124 s133 <br /> CONTRACTOR ADDRESS CONTR.LIr,E�5E# <br /> FASTWATERHGA7'L'RCOMPANY 12601132NDAVEK}: PASTWWI�`-48DC <br /> (4^_5)814-3124 ��kh�-AND,A1'A 98034 01/03/1008 <br /> PROPOSED USE OF BUILDING swm�np M�chan�ca Addltlon HE T SOURI:E <br /> PERMIT Combinntlon Plumbing WORK /��oratlon Electri� <br /> IYPE D�molilion 61gn TYPE New aa <br /> 5 kl r Rs alrlM�int Ihar <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF rVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> RcmovdRcpince L'Icctric Natcr Hcntcr <br /> PLUMBING MLCHANICAL <br /> NO. TYPE OF TU E OR ITEM NO TYPE OF' I TURE OR ITEM <br /> _______ WATE-R CLOSET __ __ _.. A1C-AIHANDLINO UNITS <br /> _______ BA7HTU9 _._____ FORCED AIR SYSTEMS <br /> ______ LAVATORY (WASH BASIN) _.____ fiEAT PUMP <br /> _____ SFiOWER ___ UNIT HEATERS <br /> ______ KI7CHEN SINK 8 DISPOSAL ______ CLOTHES DRYER <br /> _____ DISHWASHER __ _ RANGE HOOD <br /> ______ LAUNDRY TRAY _�� _ WA7ER HEATER <br /> ____ CLOTHES WASHER __. METAL FIREPLACEISTOVE <br /> �_ URINAL ____ FIFEPLACE INSERT <br /> �_ DRINKING FOUNTAIN _�_ �AS FIREPUICE <br /> __�_ FLOOR DRAIN ___ GAS RAN6E <br /> ____ BACKFLOW PREVENTER ___ OAS PIPINC3 <br /> _____ SINK (SERVICE/BAR/MOP/ETC.) ___ EXHAUST FAN <br /> __�__ OTHER____ �_.___ OTHER_____,_ <br /> ----- ------ ------ <br /> — --- � ------------------ <br /> I HERFBY CER7IFY THAT I MAVE RC-AD AND EXAMINED 7HIS APLICA710�'AND KNOW TH[SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING Th115 TYPE Of WORK WILL 8E COMPLIED WIHT WHETHER SFEGFIED HEREI <br /> OR NOT. THE rRANT1NG OF/1 PERAi17 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHF:R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AU7HORIZED <br /> 9Y TME OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MAOE AND 1 COM?LY WITH THE STATE <br /> CONTRl�CTORS LAW 18.17 HCW ANO 296.200 WAC. <br /> SlgnaWre of Ownor/Contractor/Authorizod Agoni �`-.,�_r ��,:/.,-- Data �U/04/200�i <br /> ��.�� <br />