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;-�- ` PERMIT APPLIC�►, tION <br /> CITY OF EVERETT PERMIT SERVICES <br /> `� :j200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 0172IR <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> i�,,�,ur�,���,�vr_.evr_k�rr.�v,� ��szos ooas3r,0000�ooz I�D30[� �� � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> 1VHITG,6RLNT 362G UPLe\ND AVE <br /> • LVGRBTT, WA 98203 (425)2G7-0507 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAriLLA HILL q25 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST\YATGR IIEATGR COhIP�WI' 12601 132ND AVG NB PASTR'1IC052DP <br /> (d25)314-312d �+��LKLAND,WA 95034 02lI6/2003 <br /> PROPOSED USE OF BUIIDING eul�dinp M�chanica Addillon HEAT SOURCE <br /> PERMIT Combin�tion Plumbinp WORK /��eration El�elrfe <br /> TYPE O�molition Slpn TMPE N�w aa <br /> r R� eirlMalnl ther <br /> CONTRACT PRICE OF WORK Sa49.00 CITY OF EVERETT LOCAL SALES TAX COOEIS 3105 <br /> WORK DESCRIP710N Rcmovc/Rcplacc Gas\1'atcr Hcatcr <br /> UMBIN MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _____ WATER CLOSET ______ A/C•A/HANDLING UNITS <br /> _____ BATHTUB _�___ FORCED AIR SYS7EMS <br /> ______ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> __�__ SHOWER ___ UNIT FiEATERS <br /> _____ KITCHEN SINK 8 DISPOSAL _�_ CLOTHES DRYER <br /> ___ DISHWASHER _ RANGE HOOD <br /> ______ LAUNDRY TRAY �__ WATER HEATER <br /> ____ CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> _�_ URINAL _,_ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> _�__ BACKFLOW PREVENTER __ GAS PIPING <br /> _� SINK (SERVICEIBAR/MOPIETC.) ___ EXHAUS7 FAN <br /> _�_ OTHER --- OTHER------�----`— <br /> I FIEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS APLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINAN(,ES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W�HT WNETHER SPECIFIED HEREI <br /> OR NOT.TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMIWCE OF CONSTRUCTION.TNAT IAM AUTNORIZED <br /> RY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPIY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.20�WAC. <br /> Signature of OwnedContractorfAuthorized AgaN ���j� ��,_�.-- Dats 01/07/2003 <br /> oi�m <br />