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Pran: 7��14/2008 12:58 q044 P.004/005 <br />PERMIT APPLICATION 418437 <br />• CITY OF EVERETT PERMIT SERVICES <br />._,`�'�' 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />8704 3FtD DRSH, EVERETT, NA 98208 00G82900000G00 ��/� �l� �'1 ,� � <br />� V <br />LEGAL LOT NO. BLOCK ITRACT <br />OWNER ADDRESS PHONE <br />CARMGN, NANCY 541 G] 39 ST SE <br />• GVGftLTT, WA 98208 (425)337-3101 <br />TENANTNAME CONTACTNAME PHONE <br />Carol Randall 800-454-8955 x 133 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />PAS7'WATFRHBATGRCOMPANY 12G01132NUAV�NE ppSTWWH948BC <br />800-454-8955 KIRKLANll, NA 98034 01/04/2010 <br />PROPOSED USE OF BUILDING aul�dtnp M�chenia� wORK Addillon H T SOURCE <br />PERMIT combin�tion ' Plumblo Altaration Elncldc <br />Ty?E D�molllion 8iyn TYPE N�w a• <br />R� alrlM�Inl her <br />CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT IOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Rcmovc/RcplaceL•lectric WnterHcater <br />eLUMeING MECHAN�CAL <br />TYP OF I TURE I@M NO. F IXTUR OR ITEM <br />_�_ K'ATER CLOSET _ A/C•A/HANDLING UNITS <br />__ BATHTU6 �� FORCED AIR SYSTEMS <br />___ LAVATORY (WASH BASIN� HEAT PUMP <br />__,__ SHOWER _� UNIT HEATERS <br />__� KI7CHEN SINK 6 DISP09AL _ CLOTHES DRYER <br />___ DISHWASHER _ RANGE HOOD <br />_____ LAUNDRY TRAY 1_ WATER HFATER <br />_ CLOTHES WASHER __ METAL FIREPLAC[lSTOVE <br />__ URINAL �v FIREPLACE INSERT <br />___ DRINKING FOUNTAIN OAS FIREPLAi.E <br />FLOOR DRAIN GAS RAN6E <br />__._ BACKFLOW PREVENTER __ 6A3 PIPING <br />_� SINK (9ERVICEIBARlMOP/ETL.) ___ EXNAUST FAN <br />OTHER _ OTHERM�_____` _ <br />1 HEREDY CERTIFY 1'HAT I FiAVE READ AND EXAMINED THIS APLICATION /+�VD KNO\N THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WIHT WHETHER SPECIFIEO HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIERSTAT[ OR LOCAL LAW REGUI.ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TN�TI AA1 AUTHORIZED <br />BY THE OWNER OF THIS PROPER�Y TO PERFORM TME WORK FOR WNICHAPPLICAT70N IS MADE AND 1 COMP�Y WITH THE SiATE <br />CONTRACTORS LAW 18.27 RCW AND 286200 WAC. <br />Signoturo of OwnorlCantroctor/Authorizod Apent �,��,67U f�,��p Dat� �0/14/2008 <br />/ <br />UI.�'tl <br />