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�rom: 04/7��2009 15:18 N205 P.003/003 <br /> PERMIT APPLICATION 441380 <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425457-8857 FNC y� �� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> G308 I DR SH,LVGRGTI',\VA 98203 00784900007500 ���C C � . r <br /> x ' - C' 3 .� <br /> LEG.4L LOT NO. BLOCK (TRACT <br /> OWNER AQDRESS PHONE <br /> LGM6C,PAIJL 6308 1 DK SH (q25)355•2927 <br /> • LVIFtL•TT,NA 98303 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randali 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAS1'R'A'I'ER IILA"CGR COMPANY 12G01 132ND AVG N8 FAS'iNWF1943BC <br /> 425-636-7054 �»�AND, 14A 95034 Ol/04/2010 <br /> PROPOSED USE OF BUILDING eu��ainp M�eh�nlca WORK Addltlon H T SOURCE <br /> PERMIT Combinetion Plumbing Alleratlon ENctric <br /> IYPE Damolilion Slyn TYPE N�w a� <br /> n r R� airlMtlnt er <br /> CONTRACT PRICE OF WORK yqq9,p0 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION 12emoveJltcplacc Gar.\Vater Hentcr <br /> PLUMBING M�CHANICAL <br /> NO. TYP OF FIXTURE OR ITEM O. TYPE OF F XTUR OR ITEM <br /> __ WATER CLOSET ^__ A/C•A/HANOLING UNI75 <br /> __ BATHTU9 ___ FORCED AIR SYSTEMS <br /> _� LAVATORY(WASH BASIN) __,_ MEAT PUMP <br /> , SHOWER ___ UNIT HEATERS <br /> ,__ KITCHEN SINK 8 DISPOSAL ____ CLOTHES DRYER <br /> � DISHWASHER RANGE t100D <br /> _� LAUNORY TRAY � _ WATER HEATER <br /> _ CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> URINAL _�_ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER __ GAS PIPING <br /> SINK (SERVICEIBAR/MOP/E7C.) ___ EXHAUST FAN <br /> __ OTHER ___ OTHER,_�___�_ <br /> 1 HEREBY CERTIFY THAT I HAVE READ ANO EW+IdINEO THISAPLICATION AND KNOW THE SAME TO BE TRUE AND CO'�.riECT.ALL <br /> PROVISIONS OF LAWS ANO OROIMANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SP_CIFIED MERE� <br /> OR NOT.7}IE 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.THA71 AM AUTHORI2ED <br /> DY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK�OR WHICHAPPIICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298200 WAC. <br /> Signaturu of Ownnr/Cantracmr/Authorized Agont ��r�,���J ,j„��p Dats 04/21/2009 <br /> u��m <br />