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From: <br /> � O9/�t/2011 08:56 #644 P.002/003 � <br /> PERMIT APPLICATION 556106 � <br /> ��i� CITY OF EVERETT PERMIT SERVICES � <br /> �, 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 i <br /> 425-257-8B57 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4Gt 1 VIGW DR,EVIiRGTI',WA 98203 00605700000102 1 �1 O _ <br /> LEGAL LOT NO. BLOCK ITRACT <br /> E <br /> OWNER ADDRESS PHONE <br /> 4G1I VIL'WllR <br /> �90ktELAND,TIM (425)339-0804 <br /> • fiVGRL'TI'.WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> �l'�CctS�� azs�ssao, <br /> CONTRACTOR ADDRESS ' CONTR.LICENSE�F <br /> PAS7'WATLRHHA'TERCOMPANY 12G01132NDAVI:NI: FAS"iWW11948AC <br /> KIRKLAND, WA 98034 OI/04/2012 <br /> 425-636-70� <br /> PROPOSED USE OF BUILDING euua�np Maebmic�l WORK AddiGon H T SOURCE <br /> PERMIT Com6l��tion PlumDlnp Nt�ration I��tric <br /> Resldential 7YpE D�molllion Slpn TYPE Ntw as <br /> r R� �IrMlalnl Iher <br /> CONTRACT PRICE OF WORK S, --- CITY OF EVERETT LOCAL SAIES TAX CODEIS 3105 <br /> WORK DESCRIPTION xcmovc/Rcplucc Gas N'atcr Hcatcr <br /> PLUMBING MECHANICAL <br /> N . TYP OF I TURE OR I EM O. P OF XTUR OR ITEM <br /> �__ WATER CLOSET ______ AIC-AIHANDLING UNITS <br /> ^ BATMTUB ______ fORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) ____ HEAT PUMP <br /> �_ SHOWER ___ UNIT HEATERS <br /> ____ KITCHEN SINK d DI5POSAL �___ 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 /> _y SINK (3ERVICE/BAR/MOPIETC.) �_ EIfHAUST FAN <br /> —-- OTHER _�_ OTHER----------------T <br /> 1 NEREBY CERTIFY THAT I HAVE READ ANp EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRE�'T.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE�OMPLIED WIHT WHETIIER SPECIF ED MEREI <br /> OR N07.Tr1E GRANTING OF A PERMIT DUES NOT PRESUME TO GNE AUTHORITY TO V17lNTE OR CANCEL THE PROVISqN OF ANY <br /> OTHER STATF OR LOCAL Ll�W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRVCTION.THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPER7Y TO PERFORM TF1E WORK FOR WHICH APPLICATION 13 MADE AND I COMPIY WITH THE 57AT� <br /> CONTRACTORS LAW 18.27 RCW AND 296.20�WAC. <br /> IStgnatura of OwnodContractodAuthorized Agent ��/� _ �n� Date 09/212011 � <br /> ( C4�1,� <br /> ui e9i <br />