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�� <br /> P�'RMIT APPLICATIC y � J �- " - � <br /> ���� CITY OF EVERETT PERMIT S�:RVICES r��v z 4 2ooa <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-88'!� . 5 <br /> CiTY OFC��i�HET <br /> Fn , <br /> SITE ADDRESS PARCEL TAX I.D.# PERMI " ervir.c <br /> I 1316 2 AVG S@, EVGRBTT, WA 98208 0057360000340I � `// �� <br /> !f <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER AODRESS PHONE <br /> 113162AVESL' <br /> CLAVBL,RAMON � (425)355-0557 <br /> • EVERETT,WA 98_08 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMC•LA HILL 425 814-3124�133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I'AST N'ATBR iIHATGR COMPANY 12601 132ND AV8 NH PASTWHC052DF <br /> (425)814-3124 k�RK1.AND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDfNG ew�dtnp M�enen�u Addilion HEAT SOl1RCE <br /> PERMIT Combin�tlon Plumbing WORK /��entlon El�etrie <br /> TYPE D�molition Slpn NPE New as <br /> r Ra alrlMainl her <br /> CONTRACT PRICE OF WORK �349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3705 <br /> WORK DESCRIPTION Remove/Replacc Elcciric Water Hcatcr <br /> LL�'�.�5� MECHANICAL <br /> NO TYPE OF FIl(TURE OR ITEM _ PE OF IXTURE R ITEM <br /> ______ WATER CLOSET ______ ,�JC-A/HANDLING UNITS <br /> _______ BATH7UB �__�_ FORCED AIR SYSTEMS <br /> ___�_ LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> ______ SHOWER ___ UNIT HEATERS <br /> _____ KITCHEN SINK 3 DISPOSAL _�_ CLOTHES DRYER <br /> ___�_ DISHWASHER � _ RANGE HOOD <br /> _____ LAUNDRY TRAY __�__ WATER HEATER <br /> ____ CLOTHES WASHER _^ MFTAL FIREPLACE/STOVE <br /> _�_ URINAI. ______ FIREPLACE INSERT <br /> _�_ DRINKING FOUNTAIN ^__ GAS FIREPLACE <br /> _� FLOOR DRAIN GAS RANGE <br /> _____ BACKFLOW PREVENTER __ GAS PIPING <br /> ___�_ SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br /> _�_ OTHER ___ OTHER____�__________� <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINEJ THIS APLICATION AND KNOW THE i.1ME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WIHT WHETHER SPECIFIED MEREI <br /> OR NOT.THE GRANiING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR(;ANCEL THE PROVISIQN OF ANY <br /> OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORIZED <br /> BY THE OWNER Of THIS PROPERTY TO PERFORM THE WORK FOR WMICH APPLICATION IS MADE AN01 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> SignaWre af OwnedContractorlAuthorized Ageni �,.,- , �_ ���•�: �. Dats I V23/2004 <br /> ui�ni <br />