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fron: 12/01/200a 13:59 N015 P.002/003 <br /> PERMIT APPLICATION 423876 <br /> ����� CITY OF EVERETT PERMIT SERVICES _ <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 ) <br /> 425-257-8857 FAX �� �C''� -C'15 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 11112 1 AVG Sti,EVERLTT,WA 98208 28042400402000 : �� <br /> ���_ �i , , r <br /> LEGAL LOT NO. BLOCK TRACT ' <br /> D <br /> OWNER ADDRESS PHONE <br /> LAM,7'RI I I1 I2 1 AVB SL (425)760-1759 <br /> • SVrRLTT,\VA 98208 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEif <br /> I'AST\VA'17iR FIBATGR C0�11'ANY ]2601 132Nll AVE NE PAST�V\VFi948BC <br /> KIRKLAND,\tiA 98034 OI/042010 <br /> 800-454-8955 <br /> PROPOSED USE OF BUILDING Bulldinp - Mechanlca ndd���on H T SouRCE <br /> PERMIT Comhlnetlon Plumbing WORK Ntandon lectric <br /> 7YPE Damolitfon 91pn TYPE Now as <br /> rl Rs alrlMalnt ther <br /> CONTRACT PRICE OF WORK �449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK OESCRIPTION �temoveAiepince G1s\Vater Hcater <br /> PLUMBING M�GHANICAL <br /> N . TYPE OF FI 7URE O ITEM OF IxTURE OR ITEM <br /> ___ WATER CLOSET _�___ A/C-A/HANOLING UNITS <br /> ____ BA7HTU8 _____ FORCEO AIR SYSTEMS <br /> __� LAVATORY (WASH BASIN) ____ HEAT PUMP <br /> ___, SHOWER ____ UNIT HEATERS <br /> ___ KITCHEN SINK & DISPOSAL _____ CLOTHES DRYER <br /> _� DISHWASHER _ RANGE HOOD <br /> ____ LAUNORYTRAY _I__ WATERHEATER <br /> _ CLOTHES WASHER ___ METAL FIREPLACEfSTOVE <br /> _ URINAL ___ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN _ f3AS FIREPLACE <br /> __ FLOOR DRAIN GAS RANGE <br />- ____ BACKFLOW PREVENTER ___ GAS PIPING <br /> __ SINK (SERVICEIBAR/MOP/E7C.) __�,_ EXHAU57 FAN <br /> -- - DTHER_�- --- OTHER---------------- <br /> ' — --- --- -- ------ -- --- <br /> 1 NEREBY CERTIFY TFIAT I HAVE READ AND'cXA1dI1�eD THIS APLICAT70'�AND KNOW THE SAUE TO BE TRUE AND CORRECT.AlL <br /> PROVISIONS OF LAWS�ND OKDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIf'IED HEREI <br /> OR NOT. 7HE GRANTII�G OF A PERh11T DOES NOT PRESUME TO GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STA7E OR LUCAL IJ�W REGULATING CONSTRUCTIJN OR TNE PERFORMANGE OF CONSTRUCTION.7HAT I AM AUTHORI2E0 <br /> BY TME OWNER OF TI115 PROf'ERTY TO PERFORM TH[\ti'ORK FOR WHICHAPPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br /> Slgnature of OwnodContractor/Authorized Agent �y��j�C��„�Qp Dale ���01/2008 <br /> ul w�1 <br />