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From: <br />04/16/2011 11:46 r994 P.002!002 <br />PERMIT APPLICATION 53"'8 <br />i;�i�� CITY OF EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS PARCBL TAX I.D.# PERMIT# <br />2315 VIRGINIA AVL-, LVGRGI'7', 1VA 9N201 00401649800700 <br />LEGAL LOT NO. BLOCK <br />DE <br />OWNER ADDRESS <br />JENI:S, BRYAN fi MASUMI �315 VIRGINIA AVE <br />• I:VIiRLTI', 1VA 95201 <br />TENANT NAME CONTACT NAME <br />Tc� 1 i E �nSY� �/ <br />CONTRACTOR ADDRESS � <br />PAti I' WATL'R IIIsA'I�IiR COMPANl' 12�01 132ND AV� Nf <br />425-636-7054 h�RKLAND, 14A 9803•i <br />PROPOSED USE OF BUILDING eu��ainp Machenica <br />PERMIT . Combinallon Plumtlnp WORK <br />ResidCntial TypE Domolilion g�g� TYPE <br />CONTRACT PRICE OF WORK `�+ /� 5`�–� — <br />P <br />WORK DESCRIPTION �Zcmove/itcplacc Gas Watcr I!catcr <br />____ BATHTUB <br />_____ LAVhTORY (WASH BASIN) <br />__ SHOWER <br />___ KITCHEN SINK 8 OISPOSAL <br />__ DISfiWASHER <br />____ �AUNDRY TRAY <br />___ CLOTHES WASHER <br />___ URINAL <br />_ DRINKING FOUN7AIN <br />__ FLOOR DRAIN <br />___,. BACKFLOW PREVENTER <br />__ SINK (SERVICFJBqR/MOPlETC.) <br />___ OTHER____ !__ <br />�� <br />%/��4 -- <br />PHONE <br />(425)257•1012 <br />PHONE <br />47_5-636-7054 <br />CONTR.LICENSE# <br />�AST1V\VI39dS13C <br />U 1 /04/2012 <br />SOURCE <br />New <br />IOCAL SALES TN( CODEIS 3105 <br />A/C-AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />fiEAT PUMP <br />UNIT HFJITERS <br />CLOTHES DRYER <br />RANGE NOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />6AS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />E%HAUSTPAN <br />---- � -------- <br />1 HEREl3Y C[RTIFY TfiqT I HAVE READ AND EXAMINED THIS APLICA710N AND I(NOW TN[ SAME TO �[ TRUE AND CORRECT. All <br />PROVISIUNS OF Ll�WS ANU OROINANCES GOV[RNIN � THIS iYPE OF WORK WIIL BE COMPUED WIHT WHETHER SPEGFIED H[RE <br />OR NOT. THE GRANTING OF A P[RMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOL/�7G OR CANCEL 7HB PROVISION OF ANY <br />DTMER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE PER�ORM/1NCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />BY THE OWNGR OF THIS PROPERTY TO P[RFORM THE WORK FOR WHICH APPUCATION IS M1L4DE AND I COMPLY WITH TNE STATE <br />CONTfUC10RS LAW 78.27 RCW AND 29G.200 WAC. <br />of OwnodControctorlAutho�izod Agunt / / � <br />Data Oq/IG/ZOII <br />UI �R� <br />