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From: 03/02/2009 16:U9 p461 P.002/002 <br /> r�� <br /> PERMIT APPLICATION 435550 <br /> CITY OF EVERE'i T PERMIT SERVICE� <br /> ._.., 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> az5•zs�-aes� Fnx 3�3-,Dq <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 9405 2 DR SE, EVERETT, \VA 9S20S 00741400004600 �_O�� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> �ncKsorr,taci� �aos z nR se <br /> • EVGRETT,WA 98208 (�'-5)353-G989 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randali 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST\VATER HF.ATER COMPANY 12G01 132ND AVE NL PAST'WWF1938UC <br /> 425-63G��7054 KIRKLAND,NA 95034 01/04/2010 <br /> PROPOSED USE OF BUILDING Buildfnp M�ehanlea Addlllon He T souRCE <br /> PERMIT Combinellon PIurt�Clnp WORK , Nteratlon I•c�ric <br /> TYPE D�molillon Slpn TYPE Naw sa <br /> Re elrlMalnl Iher <br /> CON7RqCT PRICE OF WORK S349.00 CITY OF EVERETT LOCAL SALES TAl(CODEIS '1105 <br /> WORK DESCRIPTION Remoac/Rc�ilncc Elcc�:ic Nmcr Heater <br /> PLUMBING MECHANICAL <br /> TYPE OF F TU I EM O T OF %TUR OR t7EM <br /> _____ WATER CLOSET NC-A/HANDLINO UNITS • <br /> ___._ BATNTUB PORCED AIR SYSTEM1IS <br /> _______ LAVATORY (WASH BASIN) HEAT PUMP <br /> _�_ SHOWER UNIT HEqTERS <br /> _____ KI7CHEN SINK 8 OISPOSAL —� CIOTHES ORYER <br /> ____ DISHWASHER ^ RqNGE HOOD <br /> _____ IAUNDRYTRAY l� WATER HEATER <br /> ___ CLOTHES WASHER � METAL FIREPLACE/STOVE <br /> ___ URINAI. FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN GAS FIREPLACE <br /> __ FLOOR DRAIN � GAS RANGE <br /> _____ BACKFLOW PREVEN7ER � GAS PIPING <br /> _____ SINK (3ERVICEIBAR/MOP/ETC.) El(HAUST FAN <br /> _ ___ OTHER --- <br /> --- OTHER_�--�– <br /> t HEREDY CLRTIFY THAT I HAVE RE/�D nND EXAMINEO THIS APLICATION AND KNOW THE S�ME TO BE TRUE AND CORRECT.ALL <br /> I PROVISIONS OF lqWS AND ORDWANCES GUVGRNING THIS TYPE OF WORK WILL BE COMPUED WIHT Wh1ETHER SPECIFIED NEREI � <br /> OR N07.TNE GRAN7ING OF�PERMIT DOES NOT PRESUME TO GIV[AUTtiORITY TO VIOLATE OR C�NCEL TNE PROVISION OF ANY <br /> OTHER STATE OR L(H:AL lAW REGULA7ING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.THATI AM AUTHORIZEO <br /> 9Y THE OWN[R OF THIS PROPERIY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MAOE AND I COMPLY WITH THE 57ATE <br /> CONTRACTORS LAW 18.2I RC;W AND 208.200 WP.C. <br /> Signatura of OwnodContrector/Authorized Agent ���������F, D�te 03/02/2009 <br /> u�wxi <br />