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Frorn: 01 �?6/2010 12:52 p47Z P.002/002 <br /> i <br /> PERMIT APPLICATION 476921 <br /> ��i�� CITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX „ 6 �/v <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT�t <br /> 9804 SIiAILON llR,EVLRL•TT,WA 98204 00685600000200 <br /> !�i � — %�`/ <br /> LEGAL LOT NC�. BLOCK �TRACT <br /> OWNER ADDRESS <br /> AUS'PAD,FRANK <br /> 9804 SHARON DR PHONE <br /> • I:VtiRG7"1', WA 98204 (425)353-1535 <br /> TENANT NAME CONTAGT NAME PHONE <br /> Carol Randall C25-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> !'AST WA1'HR H[A'1'L'R COMPAhY 12G01 132ND AVL NE �AST\V1VI19-08llC <br /> 425-G36-7054 KIIiFLAND, R'A 98035 OI/04/20I2 <br /> PROPOSED USE OF BUILDING euuaino M�ehm�n Addiqon HEAT SOURCE <br /> PERMI7 � Combinatlon Plumbinp WORK N�aratlon El�ct�tc <br /> Residenlial TypE Damoll0on S�y� 7YpE N�w ,� <br /> R� �IrlMdnt ther <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERE7T LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION �temovc/ltcpincc L'Icctric R'otcr Hcatcr <br /> �PLUMBING MECHANICAL <br /> ►� . OF TUR 1 E O TYPE OF FIXTU OR ITEM <br /> ___ WATER CLOSIET A/GA/HANDLIN6 UNITS � <br /> ___ BATHTUB _--_ FORCED AIR SYSTEMS <br /> ______ LAVATORY(WASH BASIN) HEAT PUMP <br /> __ SHOWER UNIT NEATERS <br /> _____ KITCHEN SINK 3 DISPOSAL � CLOTHES DRYER <br /> �__ DISHWASHER RqNGE HOOD <br /> __�_ LAUNDRY TRAV �t WATER HEATER <br /> ____ CLOTHE3 WASHER METAL FIREPLACE/STOYE <br /> ___ URINAL FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN OAS FIREPLACE <br /> _ FLOOR DRAIN GAS RAN6E <br /> _�___ BACKFLOW PREVENTER CiAS PIPINO <br /> ___ SINK (SERVICE/BARfMOP/ETC.) _,_ EXHAUST FAN <br /> _�_ OTHER _ OTHER_�___________�_ <br /> �NEREBY C[RTIFY THAT 1 HAVE READ AND EXAMINED THIS APLICl1'IION AND KNOW THE SAME TO BE TRUE AND CORRECi,qLL <br /> PROVISIOMS OF LAWS AND OR�IfJANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIH7 WHETHER SPECIFIED MEREI <br /> OR NOT.THE GWINTING OF q pERM1T DOES N07 PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTION OR TME PERFORMIINCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM T}IE WORK FOR WHICHAPPLICATION IS MADE AND 1 COMPIY WITH THE STATE <br /> CONTRAC70R5 LAW 78.27 RCW AND 288.20U WAC. <br /> Slpnaturo of OwnariControctor/Authorized Agant �,,�a���,�P ���s ol/26/2010 <br /> u�oa� <br />