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Frorn: 0812? „ 011 09:19 �272 P.0021002 <br />PERMIT AP�PLICATION 552538 <br />��� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />4zs-ze�-ea5� r-Evc <br />SI7E ADDRESS PARCEL TAX I.D.# PERM�7# <br />7J22 3 Dfi \1', L'VLRL'1'I', \VA 957.03 OOR3400U001700 1`I U 3 S <br />IEGAL LOT NO. BLOCK ITRACT <br />OWNER ADDRESS PHONE <br />�azz s n�t w 125 355-63'_I <br />1UHNSON, GI_OHIA (' ) <br />• [VGRG"I�'I', W'A 98?03 <br />TENANT NAME CONTACT NAME PHONE <br />�1,���� Cq5 ,� 425-636-i0�yy <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />PASf \VA'i'HR 1�4GA'fLR COA1PANl' 12G01 132ND AVL: NB PAS7'N�V119ARf3C <br />RIRKLAND, WA 9303J OVO4/2012 <br />p�(ONE 425-656-70� <br />PROPOSED USE QF BUILDING Buildinp M�chsNca WORK Addillon f-OT SOURCE <br />PERMIT Comh(nation Plumbinp .� N�eraUon E�aclric <br />ROsidential 'rypE Oamolition Slpn TY�'E Naw aa <br />r1 kl r R� aldMainl her <br />CONTRACT PR7CE OF WORK CITY OF EVERETT LOCAL SALES TAl( CODEIS 3105 <br />WORK OESCRIPTION HemnvdRcplacc Gas \Vatcr licutcr <br />PLUMBING MECHANICAL <br />fYPE OF FIXTU 1 EM O. TYPE OF FU(TURE OR ITEM <br />�_ WNTER CLOSET ______ A/C-A/HANDLING UNITS <br />__ BATMTUB _____ FORCEO AIR SYSTEMS <br />_�_ LAVATORY (WASH BASIN) _�_ HEAT PUMP <br />_� SHOWER ______ UNIT HEATERS <br />____ KITCHEN SINK 6 �ISPOSAL ��_ CLOTHES DRYER <br />__ DISHWASHER _ RANGE HOOD <br />__ LAUNDRY TRAY _�__ WATER HEATER <br />____ CLOTHES WASHER __ METAL FIREPLACFJSTOVE <br />_ URINAL _A_ FIREPLACE INSERT <br />_ DRINKING FOUNTAIN _ GAS FIREPLACE <br />FLOOR DRAIN GAS RANGE <br />___ BACKFLOW PREVENTER _, GAS PIPING <br />__ SINK (SERVICE/BARlMOP/ETC.) �__ EXHAUST FAN <br />--- OTHER_ --' OTHER------------------- <br />I HEREf3Y CER7IFY THAT I HAVE RFAO AND EXAMINED THIS APLICATION AN� KNOW THE SAME TO BE TRUE ANO CORRECT. ALl <br />PROVISIONS OF LAWS ANO OR�iNANCES GOV[RNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIEO H[REI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT f�RESUME TO GIVE AUTHORITY TO VIOLAI"E OF CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT � AM AUTHORIZED <br />OY THE OWNER OF TNIS PROPERTY TO PERFORh1 THE WORK FOR WHICH APPLICATION IS MADE AND I COMPIY WITH TNE STATE <br />CONTRACTORS LAW 1827 RCW ANO 29G.200 WAC. <br />Sipnaluru of OwnedConlractorlAuthorized Agont L�j` � �� /� /1 �, Date 0 8/2 32 0 1 1 <br />Nn i 6i �,. \ <br />V.., .,. <br />