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Fram: O11^FI2012 10:24 �019 P.003/004 <br /> PERMIT APPLICATION 5698'6 <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 8332 UPPER RIDGE RD tlD,EVGItE'I`T',WA 982D3 ' <br /> i��d�- oi5 <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> HLoiu:�rrn, �nvio 83�2 U�Per �id�e 1���_� (20G)550-9943 <br /> �e-f� W � 20� • <br /> TENANT NAME CONTACT NAME PHONE <br /> � 425-636-70$� <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I�ASTWA7'L•RHEA7'BRCOMPANY 12G01132NDAVI:NE PASTWWH948E3C <br /> 425-636-70Sf� KIRKLAND,WA 98034 �I � I ��-}� <br /> PROPOSED USE OF BUILDING Bui�dtnp M�ehanle� Addlllo� H AT SOURCE <br /> PERMIT Combin�qon Plumbin0 WORK pllaraqon Eleclric <br /> Residential TypE o�mollUon Slpn TYPE Naw as <br /> R� aidMslnt Iher <br /> CONTRACT PRICE OF WORK '� ij, — CITY OF EVERETT LOCAL SALES TA%COOEIS 3'105 <br /> WORK DESCRIPTION Rcmovc/Itcpl¢ce Gas Wntcr Hcatcr <br /> PLUMBING MECHANICAI <br /> O. 7Y E OF FIXTU I M O. T PE OF 1 TUR OR ITEM <br /> ___ WATER CLOSET ______ AIC•A/HANDLING UNITS <br /> ^__ BATHTUB _�___ FORCED AIR SYSTEMS <br /> ___ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> __� SHOWER ___ UNIT HEATERS <br /> ^_ KITCHEN SINK 8 DISPOSAL ___ CLOTHES DRYER <br /> � DISHWASHER _ RANGE HOOD <br /> ___ LAUNDRY TRAY ��__ WATER HE4TER <br /> � CLOTHES WASHER __ METAL FIREPIACE/STOVE <br /> � URINAL ____ FIREPLACE INSERT <br /> _ DRINKING FOUN�iAIN _ 6AS FIREPLACE <br /> PLOOR DRAIN GAS RANGE <br /> �__ BACKFLOW PREVFNTER _! GAS PIPING <br /> _ SINK (SERVICEIBAR/MOPIETC.) ___ EXHAUST FAN <br /> ____ OTHER_ _„A_ OTHER___�__�_______� <br /> --- — � – --– ---------------I <br /> 1 HEREBY CERTIFY THAT I HAVE READ ANp EXAMINEO THIS APLICATION ANp KNOW THE SAME TO BE TRUE AND CORRF.CT.ALL <br /> PROVISIONS OF LAY:S AND ORDINANCES GOVERNING TF115 7YPE OF WORK WILI DE COMPLIEO VlIHT WHETHER SPECiF�ED MEREI <br /> OR NOT.THE OWINTING OF A 1'ERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N.THAT 1 AM AUTHORIZED <br /> BY THE QWNER OF THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND�COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signaturo of OwnodContractorlAuthoAzed Agont �� Date O1/OGl2012 <br /> , , <br /> ui..,. <br />