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��l _, _ _ <br /> y� �� ���' � L _RMIT APPLICAT�: )N <br /> ' rF� 0 3�qq5y OF EVERETT PERMIT SERVICES <br /> ._, 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> rili' oF Ev�r,rTT ch_�ooi <br /> SITE ADDl2 $ ' � PARCEL TAX I.D.# PERMITt� <br /> 7820 UPPGR RIDGG RD,GVGRG'IT,WA 98203 0047G700001501 ,�n j`� �_ ���� {7 <br /> �� � � <br /> LEGAL LOT NO. BIOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> 7R20 UPPL=R RIDGIi RD (q?5)355-9319 <br /> fISIIfR.�-fARGARGT . GV6RGTT.WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMf:LA IIILL 425 514-3124 s133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FASI'1VATER HGATER COMPANI' 12601 132ND AVB Nf: �:py'�'��r���p52UP <br /> KIRKLAND,N�,1 9R034 02/�G/2005 <br /> (J25)814-31?4 <br /> PROPOSED USE OF BUILDING Bui�dinp Maehen�ca WORK Add111O" HEAT SOURCE <br /> PERMIT Combinetlon Piumbing Nlaration Elactric <br /> TypE Damolilion Slgn TYPE Naw as <br /> � Re airlMaint ther <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES 7AX CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Replacc Elcctric \4atcr Iicatcr <br /> UMBI MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET ______ AlC-A/HANDLING UNITS <br /> BA7HTU8 �____ FORCED AIR SYSTEMS <br /> L>VATORY (WASH BASIN) __�_ HEAt PUMP <br /> SHOWER ___ UNIT HEATERS <br /> KI7CHEN SINK & DISPOSAL __�__ CLOTHES DRYER <br /> DISHWASHER __ _ RANGE HOOD <br /> LAUNORY TRAY __�__ WATER HEATER <br /> CLOTHES WASHER ____ METAL F�REPLACElSTOVE <br /> � URINAL _�_ FIREPLACE INSERT <br /> DRINKING FOUNTAIN ___ GAS FIR[PLACE <br /> FLOOR DRAIN _!_ GAS RANGE <br /> BACKFLOW PREVENTER __ GAS PIPING <br /> SINK (SERVICE/BARIMOPIETC.) ___ EXHAUST FAN <br /> ----- OTHER-------------------- <br /> __ OTHER_ --- <br /> I HEREBY CERTIFY THAT I HAVE READ.4ND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMHNCE OF CONSTRUCTION.THAT t AM AUTHORIZED <br /> BY TNE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT�RS LAW 18.27 RCW AND 296.20�WAC. <br /> Signature of OwnedContrectoNAuthorixed Agem _ ,- ���'� �- Date 02����2005 <br /> U���I <br />