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I-ron: 12/07/2009 13:39 a812 P.002!002 <br /> � <br /> - PERMIT APPLICATION °69'°' <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-6857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMITt! <br /> ]0711 NASIIING7'ON\1'A1',LVL•RE1T, 1VA 98204 00552500002101 <br /> i���; ,� � C<�� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> lVGlt1',MAR"PIN l07]1 WASHINGTON WAV <br /> • EVI:RL'1T,WA 98204 I (425)322-4241 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSEA� <br /> 1'AS"I'\Vi\'II:R H1:ATrit COMPANY 12�01 132Nll AVL'NG I'AtiTWN'11948i3C <br /> 425-636-7054 KIRKI,ANU, WA 98034 01/04/2010 <br /> PROPOSED USE OF BUILDiNG 8u11a��o M•en.mc. Addlllon H r souRCE <br /> PERMIT Combin�Non PIum61�p W�RK AR�ntlon !actric <br /> Residential 7ypE D�mo111ion s�0� IYPE N�M, �� <br /> R� �ItlMalnf iher <br /> CONTRACT PRICE OF WORK a349.0U CITY OF EVERETT LOCAL SALES TAX CODEIS 3t05 <br /> WORK DESCRIPTION kcmovc/Ftcplscc I.Icctric Wntcr Hcaler <br /> PLUMBING MECHANICAL <br /> NO P OF IXTU I M NO P OF XTl1R R EM <br /> _—___ WATER CLOSET A/C-AIHANDLING UNITS <br /> --__ BATHTUB ' FORCEO AIR SYSTEMS <br /> ______ LAVATORY(WASH BASIN) _� HEAT PUMP <br /> ___r_ SHOWER UNIT HEATERS <br /> _____ KITCHEN SINK 6 DISPOSAL CIOTHE3 DRYER <br /> __�_ DISHWASHER �� RqNGE HOOD <br /> ______ LAUNORY tRAY 1 WATER HEATER <br /> ___ CLOTHES WASHER METAL FIREPIACFJSTOVS <br /> _ URINAL F�REPLACE INSERT <br /> _�_ DRINKING FOUNTAIN (ipS FIREPLACE <br /> FLOOR DRAIN � GAS RANGE <br /> ___ BACKFLOW PREVENTER GAS PIPIN6 <br /> �_ SINK (SERVICE18AR/MOP/ETC.) + EXHAUST FAN <br /> --- OTHER _ _ OTHER..----------�-, <br /> I HEREDY C[RTIFY THAT I HAVE READ ANp EXAMINEO THIS APIICATION AND KNOY!7HE Sl�ME TO BE TRUE AND CORRECT.All <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COi�iPLIEO WIHT WHETHER SPECIFIE�HEREi <br /> OR NOT.Tl-IE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEI THE PROVISION OF ANY <br /> OTHER ST/�TE OR LOCAI LAW REGUI.ATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.THA7 tAM AVTHORIZED <br /> BY THE OWN[R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 208.200 WAC. <br /> Signaturo ot Ownor/Contractar/Authoriied Agnnt ��yy�.7��,�dp ��t� �z;07/2009 <br /> � <br /> UI�RI <br />