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From: <br />O6/�A/2007 14:18 1t858 P.002/002 <br />PERMIT APPLICATION 3'°ee8 <br />��i� CITY OF EVERETT PERMIT SERVICES <br />.,_ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX G —19.� <br />SITE ADDRESS PARCEL TAX I.D.* PERMIT�F <br />5020RUCKGRAVE,EVERBTT, WA 98203 00410200013602 <br />l� � 0 <br />LEGAL LOTNO. BLOCK ITRACT <br />DE <br />OWNER ADDRESS <br />FOR13E5, PHYI.LIS 5020 RUCKGR AVl <br />• FVERGTT. WA 95203 <br />PAS'I' NATER HHA1'L'R COMPANI' <br />(425)814-3124 <br />:D USE OF I <br />TYPE <br />Pamela Hill <br />12601 I 32N D A V 6 NL• <br />KIRk.1.A�`I), WA 98034 <br />CONTRACT PRICE OF WORK S4q9.00 <br />WORK DESCRIPTION Romme/Replace Gas Water Heater <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNOftY TRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />31NK (SERVICE/BAR/MOP/E7C.) <br />Plumbinp I W�RK <br />8ipn n'PE <br />PHONE <br />{425)258-6773 <br />8C0-054-8955 x 133 <br />CONTR.LICEN3El/ <br />FASTW WH948AC <br />O1/03f2008 <br />3105 <br />��_ FORCED AIR SYSTEMS <br />_�_ HEAT PUMP <br />_� UNIT HEATERS <br />_____ CLOTHES DRVER <br />____ _ RANGE HOOD <br />_ �__ WATER HEATER <br />____ METAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />____ OAS FIREPUICE <br />____ GAS FiANGE <br />___ GAS PIPING <br />_,_ EXHAUST FAN <br />----- OTHER---------------- <br />1 MEREOY CERTIFY THAT I NAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAVJS ANl7 OR�INANCES GOVERNING THIS iYPE OF WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED NERE <br />OR NOT. 7ME 6RANTING OF A PERMI7 DOES NOT PRESUME TO OIVE AUT110RIiY TO VIOLATE CR CANCEL THE PRpVI510N OF ANY <br />OTNC-R STATE OR LOCAL L/�W REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THATI AM AUTHORIZED <br />9Y THE OWN[R OF THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPIICATION IS MADE AND 1 COMPLY WITH TME 57ATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />of OwnorlContraetor/Authorized Agem ��a-�_ �G�,� D�ta 06/182007 <br />ui ni <br />