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,;-- P:�RMIT APPLICATI( N <br /> ��i?� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK2193 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> c,00s i �k sr_, rvr_izrrr,NA 98203 00794100002600 ��v- J <br /> LEGAL LOT NO. 6l,OCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> n,w�:nt�, krarccn G008 I DR SI: a� <br /> • GVERI�IT, WA 98203 ( _5)355-39G3 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMI�LA IiILL 425 814-312J �133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAS'I'�1'ATGR HBA�I:R COMPANY 12G[I 132ND AVG NI? PASTWFIC052DF <br /> (d25)Hld-3124 KIRKLAND,WA 98034 02/IG/2007 <br /> PROPOSED USE OF BUILDING sw�dtnp M�eh�nlea WORK Additlon H T SOURCE <br /> PERMIT Comhln�llon Plumbinp All�ratlon El�etdc <br /> TYPE D�molition Slpn TYPE New as <br /> r R� drANalnl her <br /> CON7RACT PRICE OF WORK �449.00 CITY OF EVERETT LOCAL SALES TAl(CODEIS J105 <br /> WORK DESCRIPTION RcmovdRcplace Gas Watcr Hcatcr <br /> PLUMBING MECHANICAL <br /> NO. TYP OF FIX7URE R ITEM NO. T PE OF IXTUR OR ITEM <br /> _____ WATER CLOSET ______ AIC-A/HANDLING UNITS <br /> _______ BATHTUB ______. FORCED AIR SYSTEMS <br /> _ ____ LAVATORY(WASH BASIN) ____ HEAT PUMP <br /> ______ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 6 DISPOSAL _____ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RANGE HOOD <br /> _______ LAUNDRY TRAY __1__ WA7ER HEATER <br /> ___ CLOTHES WASHER _! METAL FIREPLACEISTOVE <br /> __,__ URINAL _�_ FIREPLACE INSERT <br /> _�_ DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> ____ FLOOR DRAIN ___ GAS RANGE <br /> ____ BACKFLOW PREVENTER __ GAS PIPING <br /> _,_ SINK (SERVICE/BAR/MOPIE7C.) ___ EXHAUST FAN <br /> �___ OTHER_ ____ OTHER_________________^_ <br /> 1 MEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS iYPE OF WORK WILL BE COMPlIEO WIHT WNETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIIED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18..7 RCW AND 296.200 WAC. <br /> SignaWra of OwnedContraetorlAuthorized Ageni �,. ;.� ���•�_ �. Date 03/29/2005 <br /> UI��1 <br />