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fron: 07/�Q/2009 15:59 �242 P.002/002 <br /> i <br /> PERMIT APPLICATION 45°3„ � <br /> ����� CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-6857FAX �--/0•�9 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> S I3 VL'RAL�NG WAY SW,EVERGTI', WA 98203 00708000004600 �11 n��`�r ;, , _ /' ,'� �'. <br /> � V \ L 9 l. <br /> LEGAL LOT NO. BLOCK TRACT �� <br /> i <br /> , <br /> .� <br /> OWNER ADDRESS PHONE `. <br /> 13ALBNABA,POLLY 513 VHRALGNG NAY S�V + <br /> • BVERL'TT,WA 98203 (425)347-868G <br /> TENANT NAME CONTACT NAME PHdNE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> 1'ASl'VVATGR HGA7'I:R COMI'ANY ]2601 132ND AVG NG fASTN'1'VII948DC <br /> 425-636-7054 k1RKLAND,WA 9R034 Ol/04/2010 <br /> PROPOSED USE OF HUILDING ewm�np M�ah�nlea Addilion HE 7 90URCE <br /> PERMIT Combinatlon Plumhlnp WORK q��arallon El�clde ��. <br /> TYPE OamoiiGon Slpn TMPE New as _ <br /> 5 r R� ■IrMlalnt Iher <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DE5CRIPTION �tcmovc/ficplace Glectric\Vater Heatcr <br /> PLUMsiNG MECHANICAL <br /> TYPE OF FIXTURE OR I EM TYP OF IXTU R iTEM <br /> �__ WATER CLOSET `_� A1C-A/HANDLIN6 UNITS <br /> ___ BATHTU6 _�_ FORCED AIR SYSTEMS <br /> __ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> ___ SHOWER _� UNIT HEATERS <br /> ____ KITCHEN SINK 6 DISPOSAL _�__ CLOTHES DRYER - <br /> __ DISHWASHER RANGE HOOD ". <br /> ___ LAUNORY TRAY �I__ WATER HEATER ' <br /> __ CLOTHES WASHER __ METAL FIREPLACEISTOVE . <br /> _ URINAL ___ FIREPLACE INSERT . <br /> __ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RAN6E ' <br /> __ BACKFLOW PREVENTER __ GAS PIPINO : <br /> � SIIJK (SERVICEIBAR/MOPlE7C.) ___ EXHAUS7 FAN <br /> _�__ OTHER___ _ OTHER ,______ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLIC/1ilON AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL �� <br /> PROVISIONS OF LAWS AND OHOINANr,Es GOVERNING 7NIS TYPE OF WORK WILL BE COMPLIEO WIHT�WHETHER SPECIFI[D HEREI . <br /> �.JR NOT.THE GRAN7ING OF A PERAIIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCiION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO <br /> BY THE OWNER OF TIiIS PROPERTY TO PERFORA7 THE WORK fOR WHICHAPPLICATO4IS MA�E AND I COMPLY WITH TME STATE . <br /> CONTRACTORS LAW 78.27 RCW AND 298.20�WAC. . <br /> SlgnaWra of OwneNContrector/Authorized Agnnt �,�y�,b7���,,�p Date 07/09R009 <br /> ` <br /> u�.rsi <br />