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;-��� PE ZMIT APPLICATIC J 3`���5 <br />��i��CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201, 425-257-8810 <br />cti�iaz <br />SITE P.DDRESS PARCEL TAX I.D.# PERMIT# <br />5404 WGTMORG AVG I:V�RHTT. WA 98203 00495800101000 <br />�' � 2 <br />LEGAL LOT NO. BLOCK ITRACT <br />DE <br />OWNER ADDRESS PHONE <br />VA\DBVI:R. SARAH & S7'I:Vf: 5404 WL'T'MORB AV8 (q25)348-0536 <br />• GVLRGTI'. WA 98203 <br />TEN�NT NAME CONTACT NAME PHONE <br />rnMri.ni�n_t, azs sw-siza.iss <br />CONTRACYOR ADDRESS CONTR.LICENSE# <br />PASI 14A1'I'R III All'.R COMPANY 12G01 132ND AV8 N8 �:qy� W��C052DP <br />(q25)R14-312� <br />KIRKLANU, WA 9R034 02/IG/2007 <br />PROPOSED USE OF BUILDING e�na�oo M.�n.nie, WORK Addilion HEAT SOl1RCE <br />PERMIT Combinetion PlumDln All�ratlon Electric <br />TMpE D�molilion Sipn T�'PE Naw as <br />� R� HrlMalnt her <br />CONTRACT PRICE OF WORK Sq49.00 CITY OF EVERETT LOCAL SALES TAl( CODEtS 3105 <br />WORK DESCRIP710N �tcmovc/Rcplacc Gas Walcr Iicatcr <br />UMBI MECHANICAL <br />NO. TYPE OF FIXTUR O ITEM N0. TYPE OF FIXTURE OR ITEM <br />WATER CIOSET ______ A/C•A/HANDLING UNITS <br />BATHTUB _____ FORCED AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) _`_ HEAT PUMP <br />SHOWER ___ UNIT MEATERS <br />K�TCHEN SINK 6 DISPOSAL ____ CLOTHES DRYER <br />DISHWASHER _______ RANGE HOOD <br />LAUNORY 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 />___ SINK (SERVICE/BAR/MOPfETC,) ___ EXHAUST fAN <br />-- - OTMER_� _�_ OTHER----------------------- <br />I HEREBY C[RTIFY THAT I FIAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMPLIED WIHT WHETNER SPECIFIED HEREI <br />DR NOT. THE GRANTING nF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONS7RUCTION. THAT 1 AM AUTHORIZED <br />BY THE OWNER OF TI115 PROI'EN1Y TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB.27 RCW AND 29fi.200 WAC. <br />SlgnaturuofOwnedContractodAuthorizedAgeni�.,: ;_- ,-.'�� Date �3;�5,?p05 <br />ui �ai <br />