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Prom: <br />01/0��2008 15:43 p873 P.002i003 <br />PERMIT APPLICATION �-������389558 <br />�wi�� CITY OF EVERETT PERMIT SERVICES <br />�F,._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8057 FAiC <br />SITE ADDRESS <br />9117 4 AVB N, 6V8RETT, �VA 98204 <br />LEGAL LOT NO. <br />�ESC. <br />OWNER <br />SAM61, DtiI:A <br />00392i00001017 <br />ADDRESS <br />9u�anvr:w <br />• BVGRHT'G WA 98204 <br />TENANT NAME CONTACT NAME <br />Carol Randall <br />CONTRACTOR ADDRESS <br />I'AS'f \VATfiR I�ItiATER COMPANY 12G01 132ND AVfl N8 <br />300-454-8955 ��LAND,11'A 95034 <br />PROPOSED USE OF BUILDING eul�d�np M�ehonica <br />PERMIT Comhinallon Plumbing WORI <br />TYPE � Domolilion Slpn 1YPE <br />PRICE OF WORK $4q9.00 <br />WORK DESCRIPTION Kemove/Replace Gns \Vater f�lenter <br />WATER CLOSET <br />BATHTU6 <br />LA\'ATORY (YVASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHN.'ASHER <br />LAUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINK'NG FOUNTAIN <br />FLJOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (3ERVICFJBAR/MOPlETC.) <br />DTHER <br />,��� `�G% I �' <br />PHONE <br />�.�zs>sss-�o�i <br />800-454-8955 x133 <br />CONTR.LICENS[if <br />PAS7'\V\VH94SF�C <br />02/03/2005 <br />FJtantion <br />NOW <br />OF EVERETT LOCAL <br />SOURCE <br />eclde <br />TAX CODEIS 3105 <br />A/C•AINANOIING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WA7ER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUST PAN <br />OTHER___ �__. <br />HEREBY CERTIFY THAT I HAVE REAC AND EXAMINED THIS APLICATION AhD KNOW THG SAM11E TO BE TRU'c AND CORRECT. All <br />'ROVISIONS Of LAWS A40 JRDINANCES GOV[RNING THIS iYPE OF WORK 1h'ILL BE COMPLIEn WIHT WNETHER SPECIFIE� HflRE <br />IR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTH041TY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />ITHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT i AMAUTHORIZED <br />�Y THE OWNER UF THIS PROPERTY TO PERFORAI THE WORN FOR WHICH APPLICAll04 IS 1.1AOE AND 1 COMPLY WITH THE STATE <br />;ONTRACTORS LAW 19.27 RCW AND 286.200 WAC. <br />naturo cf OwnedContractoNAuthorizod Agont �,�a�r������„�„GLC'p <br />Date O1/04/2008 <br />UI aR� <br />