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P�.�RMIT APPLICATII..N <br /> ����� CiTY OF EVE�tETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 ' <br /> CK 1088 <br /> SITF ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4952 VGSPER DR,GVERETT,WA 98203 0061I100003600 <br /> tl ��c.�- o _� <br /> LEGAL LOT NO. BIOCK TRACT <br /> OWNER ADDRESS PHUNE <br /> MORANG,CAROL 4952 VGSPER DR <br /> • EVERETT,VVA 982U3 (425)252-4359 <br /> TENANT NAME CONTAC:T NAME PNONE <br /> PAMELn IiILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST NATER HEATBR COMPANY 12GOI 132ND AVG NE FASTIVHC052DF <br /> - (425)814-3124 KIRKLAND,NA 98034 02/I6/2005 <br /> PROPOSED USE OF BUILDING BuIldlnp M�eh�nlca Addillon H T SOURCE <br /> PERMI7 Combination Plumbtnp WORK /�qntlon EI�o1rlc <br /> TYPE D�molilion Slpn TYPE Ntw aa <br /> R� drlMalnt ther <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Electric Watcr Hcatcr <br /> M I (dECHANICAL <br /> NO. P OF FIX7UR 17EM 0. P OF IXTUR OR ITEM <br /> _____ WATER CLOSET ______ A/GA/HANOLIN6 UNITS <br /> _�__ BATHTUB FORCED AIR SYSTEMS <br /> ��__ <br /> _______ LAVATORY (WASH BASIN) _ F1EAT PUMP <br /> �_ SHOWER _� UNIT HEATERS <br /> _____ KITCHEN SINK $ UISPOSAL _ CLOTHES DRYER <br /> _____ DISHWASHER _�_ RANGE HOOD <br /> ______ LAUN�RY TRAY ��_ WA7ER 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/MOP/ETC.) ___ EXHAUST FAN <br /> ___ OTNER_ ___ OTHER___�________�_ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND El(AMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7.ALL <br /> PROVISIONS OF LAWS AN�OR�INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE CRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORI7Y TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OH LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.TIiAT I AMAUTHORIZEO <br /> BY TME OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AN6 296.200 WAC. <br /> Signalure of OwnedContrectorlAuthorized Ageni ��-�� �_�� Data 04/28/2004 <br /> w m: � <br /> � <br />