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�-, P�RMIT APPLICATII,N <br /> �'��� CITY OF EVERETT PERMIT SERVICES <br /> �� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> ctiioss <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 3323 TULALIP AVE,GVER6TT,WA 98208 00583978301401 <br /> D d �D�( � <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> 3323 TULALIP AVE <br /> SEEDS,PIaIE (425)258-G8G8 <br /> • F,VERETT,VVA 98208 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA HILL q25 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST\VATER HEATER COMPANY 12G01 132ND AVE NG FASTWIiC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING Bulidtnp M�eh�nl�ca WQRK Additlon H AT SOURCE <br /> PERMIT Combinallon PlumDln NUratlon El�etrie <br /> TYPE D�molilion Sipn TYPE N�w ac <br /> r R� drANalnl lher <br /> CONTRACT PRICE OF WORK 5449.00 CIN OF EVERETT LOCAL SALES TAX CpDEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Gas 1Vatcr Hcatcr <br /> PLUM8ING MECHANICAL <br /> NO. TYPE OF FIXTUR OR ITEM P OF IICTUR R ITEM <br /> __ WATER CLOSET ______ A1C•A/HANOLING UNITS <br /> �_ BATHTUB _�__ FORCED AIR SYSTEMS <br /> _� LAVATORY(WASH BASIN) ____ HEAT PUMP <br /> __ SHOWER ___ UNIT HEATERS <br /> ___ KITCFIEN SINK 6 DISPOSAL _�_ CLOTHES DRYER <br /> __ DISHWASHER _ RANGE HOOD <br /> ___ LAUNORY TRAY �__ WATER HEATER <br /> __ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> _ URINAL _A_ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> ,_ BACKFLOW PREVENTER __ GAS PIPING <br /> _J SINK (SERVICE/BARIMOP/ETC.) ___ EXHAUST fAN <br /> __ OTHER ___ OTH[R_�`_______`_ <br /> 1 HEREBY CERTIFY TIiHT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AIL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WNETHER SPEC�FIED HEREI <br /> OR N07.THE GRANTING OF A PERMIT DOES NO7 PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TNF.STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.20�WAC. <br /> Signature of OwnedContractor/Authorized Agem �J� �_� Dats Q4/28/2004 <br /> UI MI <br /> __- . 1 <br /> � <br />