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From: OB/D��2007 14:11 #158 P.002/OD2 <br /> PERMIT APPLICATIOlV 3'Sz°' <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# P�=RMIT# <br /> 10308 I DR SE,EVERETT,WA 98208 0039G900002000 <br /> �vi V �b•p �-C�l� <br /> LEGAL LOT NO. BLOCK �TRACT <br /> D <br /> OWNER ADDRESS PHONE <br /> OLSON,I3RIAN 10308 1 DR SE <br /> • EVBFtL''IT,WA 98208 (d25)355-7147 <br /> TENANTNAME CONTACTNAME - PHONE <br /> Pamela Hill 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> �AS1'WATER HEA7'ER COMPAN� 12601 132ND AVE NG <br /> PAST W W H94 RBC <br /> (425)814-3124 KIItKLAND,Wp 98034 O1/03/2008 - <br /> PROPOSHD USE OF BUILDING Bw�d�np M�chanlu qddl(lon H T SOURCE <br /> PERMI7 CombineHon Alumbin8 WORK N�antlon El��tr�c <br /> TYPE D�mdillon :ilyn TYpE Naw ac <br /> � R� �IrANaIM lhar <br /> CONTRACT PRICE OF WORK �349.00 CITY OF EYERETT LOCAL SALES TAX CODEI5 3105 <br /> WORY. OESCRIPTION Rcmove/ReplaccElectricWatcrflcutcr <br /> ��Ai81 � MECHANICAL <br /> TYP OF TU I PE OF UR RITEM <br /> ______ WATER CLOSET A/C-A/HANDLINO UNITS <br /> _____ BATHTUB -� FORCED AIR SYSTEMS <br /> ______ LAVATORY(WRSFf BASIN) �— HEAT PUMP <br /> _� SHOWER � UNIT HEATERS <br /> _____ KITCHEN �INK 6 DISPOSA� CLOTHES DRYER <br /> _____ DISHWASHER � RANGE HOOD <br /> _____ LAUNORY TRAV � 1 WATER HEATER <br /> ____ .. CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _____ URINAL � FIREPLACE INSERT - <br /> ` DRINKING FOUNTAIN pA5 FIREPLACE <br /> FLOOR DRA1N GAS RAN6E <br /> ___ BACKROW PREVENTER GAS PIPINO <br /> ____ SINK (SERVICElBARlMOP!ETC.) __ EXHAUST FAN <br /> __ OTHER _�_ OTHER____,�__�_____ <br /> 1 HEREDY CEFTIFY THAT I HAVE READ AND E%AMINED THIS APLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT.ALL <br /> PROVISIONS OF lAWS AND OR�INANCES GOVERNING THIS IYPE OF WORK V✓IlL BE COMPLIED WIHT WHETHER SPECIFI[D HEREI <br /> OR NOT.TNE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMqNCE OF CONSTRUCTION.THAT I AM AUTHORI2ED <br /> BY THE OWNER OF THIS PROPERTY 70 PERFORM THE WORK FOR WHICH APPLICATON IS tAAOE AND I COMPLV WITH TME STATE <br /> CONTRACTORS LAW id27 FCW AND 298200 WAC. <br /> SlgnaWre af OwnedContractorlAuthorized ApaN ,�;,� -' Det� <br /> �'"`��`----�'�!"' OR/07/2007 <br /> u�.m <br />