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Fron: 10/��/200fi 12:Z4 a170 P.005/005 <br /> PERMIT APPLICATION <br /> ����� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 101106 <br /> SITE ADDRESS PARCEL TAX I.D.ik PERMIT# <br /> I 1?23 2 AVE SL,EVERETT, WA 98208 00573600UUU30I M U(�'�U _�7r/ <br /> �Z1 <br /> LEGAL LOT �iL1. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> TEItRY,DANIEL ll223 2 AVH SG (4251�738-0293 <br /> • GVERETI', \VA 98206 <br /> TENANT NAME CONTACTNAME PHONE <br /> - PANIELA HJLL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAS1'WATLRHBATERCOMPANY 12601132NDAVENE FASTWNI1948BC <br /> (A25)814-3124 ��LAt�'D,WA 98034 Ol/03/2008 <br /> PROPOSED USE OF BUILDING Bulldlnp M�eh�nlaa WORK Addltlon H AT SOURCE <br /> PERMIT Combinotion Plumbin AltereGon Electric <br /> 7YPE Damolition Slpn TYPE N�w as <br /> R� �IrlMalnt her <br /> CONTRACT PRICE OF WORK S34y.00 CITY OF EVERETT LOCAL SALES TAX CO�EIS 3105 <br /> WORK �ESCRIPTION Removc/[teplacc Electric\Vatcr Ilcatcr <br /> PLUMBING mECHANICAL <br /> NO. TY OF FI TU E O I EM O TYP OF FIXTURE OR ITEM <br /> -__ WATER CLOSET ,____ AIC-A/HANDLWO UNITS <br /> ____ BATHTl19 _____ PORCED AIR SYSTEMS <br /> ____ LAVATORY(WASH BASIN) _____ HEAT PUMP <br /> � SHOWER ___ UNIT HEATERS <br /> ____� KITCHEN SINK 8 DISPOSAL ______ CLOTHES DRY�R <br /> OISHWASHER _ RANGE NOOD <br /> v LAUNORY TRAY v� _ 'NATER IiEATER <br /> � CLOTHES WASHER ___ METAL FIREPLACEISTOVE <br /> URINAL ____ FIREPLAC': INSERT <br /> DRINKING FOUNTAIN ____ OAS FIRE''LACE <br /> � FLOOR DRAIN GAS RANCiE <br /> BACKFLOW PREVENTER OAS PIPINCi <br /> _f SINK (SERVICEJBAR/MOP/ETC.) _� EXHAUST FAN <br /> __ OTHER_ ---- OTHER�--------------- <br /> I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW TH[SAME TO BE TRUE AND CORRE(.T.All <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF WORK WILL BE COAIPLIEO WIHT WHETHER SPECIFIED NEREI <br /> pR NOT.TME GF2ANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THF PROVISION OF ANY <br /> OTMER STA7E OR IOGAL LAW REGUV�TING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.THATI AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS MAOE ANO�COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> Sipnaluro of O;rnedContractoNAuthori:nd Apeni �T �" Dste <br /> i�'i__ cic...Cr�^" 10/11/200G <br /> ui mi <br />