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---_ —'p; G'_„_�;';=;;� �.u � s � t �an r�,muan�, LLC , = 2/ <br /> ��Fc :RMIT APPLICATi,�N 497910 - <br /> G�i� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX �].. J�� <br /> 51TE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 54291 DR�V,HVGRETT,WA 93203 OOS16600002500 <br /> ` ' �l \c�i.�' - l .C-'�, <br /> LEGAL LOT NO. BLOCK ITRAGT <br /> DE <br /> OWNER ADDRESS PHONE <br /> H�XLL•Y,MILDRED 5429 1 DR W (425)513-6603 <br /> • EVERE7"T,1VA 93203 <br /> TENANTNAME CONTACTNAME PHONE <br /> � Carol Randall 425•636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASTNATERHGATGRCOMPANY 12G01132NDAVLNE FASTWWH9488C <br /> KI}:KLAND,WA 95034 O1/OS/2012 <br /> 425-636-7054 <br /> PROPOSHD USE OF BUILDING Bulldino Mec�aN�ea W��K Aodltion HEAT SOURCE <br /> PERMIT Combin�tion PlumEln /utar■tlon Electrie <br /> Residetltial 7�'pE Drmalilion Slpn NPE N�w as <br /> S � R� alrlMalnt lher <br /> CONTRACT PRICE OF WORK � ��— CITy OF EVERETT LOCAL SALES 7AX CODEIS 9105 <br /> WORK OESCRIP710N �Zcmovc/Replacc Ga5 WatcrHc�tcr <br /> PLUMBING MEGHANICAL <br /> NO. TYAE OF FIXYURE OR ITEM NO. TYP[OF FIXTURE OR I7EM <br /> � WATER CLOS[T _____ A/C•AIHANQLING UNITS <br /> „_ BATHTUD __�_ FORCEO AIR SYSTEMS <br /> __ LAVATORY(WASH BASIN) _4_ IiEAT PUMP <br /> ____ SIiOWER ,�� UNIT HFJITERS <br /> ___ KITCHEN SINK R DISPOSAL _�_ CLOTHES DRYER <br /> ._ DISHWASHER _ RANGE HOOD <br /> �� LAUNDRY TFtAY � � _ WATER HFJITER <br /> __ CLOTHES WASHER _� METAI FIREPIACEISTOVE <br /> � URINAL ______ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN _ GAS FIREPLACE <br /> F�OOR DRAIN GAS RANGE <br /> ____ BACKFLOW PREVENTL•R _� GAS PIPING <br /> ____ SINK (SSRVICE/BAR/MOP/ETC.) _V,. [Xf1AUST FAN <br /> __ OTHER �__ O7HER_�_�_^,__ <br /> 1 HEREBY CCR7IFY THAT 1 HAVG RG/+D ANU EXAMINED THIS APLICATION ANb KNOW TME SAM[TO BE TRUE AND CORRECT,ALL <br /> 1'f20VIS10NS OF LnWS!WD ORDINANCES GOV�ftNING THIS TYPE OF WORK WILI BE COMPLIEO WIHT WMETHER SPECIFIED HEREI <br /> OR NOL THB GRANTING OF A PERMIT DOES NOT PRESUM[TO GNE AU7HORITY TO VIQLA7E OR CANCGL THE PROVISION OF Af.Y <br /> OTHER STATE OR LU(:nL V1W RLGULi1TIhG CONSTRUC710N OR TH[PC-RPORh1ANCE OF CONS7RUCTION.TMqT�AM AUTMORIZED <br /> k7Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS Ll�W 18.27 RCW AND 29G.20D WAC. <br /> Signaturc of OwnedContractodAuthorizod Aflont ��--y���,�,.��,,�p Date 07/01/2010 <br /> _— . / <br /> m N� <br />