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From: <br />07/OQ�2008 12:22 N748 P.002/003 <br />PERMIT APPLICATION <br />�,i�CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />A25-257-8857 FAX <br />JI I C AUUKt,� PARCEL TAX I.D.# <br />5301 SOIIND AVE, EVERETT, WA 98203 00396700201500 <br />LEGAL LOT NO. BLOCK <br />OWNER ADDRESS <br />BEISFNHERZ, PAUL. 5301 SOUND AVL <br />• EVCRETT, WA 9R203 <br />"MAY ONLY WANT EST• <br />CONTRACTOR <br />FAS'1' WA'l�BR H8ATE2 COMI'ANY <br />Carol Randa�l <br />12601 132ND AVL• NE <br />800-0b3;8 , , KIRKLAND, WA 98034 <br />PHONE .�:=.c.:....;_ . ..._. <br />PROPOSED USE OF BUILDING ew�a�np M�e�n�e <br />PERMIT Combin�llon PlumElnp <br />TYPE D�molllbn Slpn <br />CONTRACT PRICE OF WORK a349.00 CITY OF <br />NOkK DESCRIPTION Removc/Rcpincc Elcctric Wnter Hcatcr <br />LAVATORY (WASM BASIN) <br />SHOWER <br />KIl'CHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOP/ETC.) <br />OTHER <br />408467 <br />7—Ib -D� <br />/%% ) � <br />PHONE _ <br />(425)710-9z36 <br />PHONE <br />800-454$955 x 133 <br />CONTR.LICENSI <br />PASTW WH9486C <br />OI/04/2010 <br />�d����^ H AT SOURC <br />NUratlon NeMc <br />N�w as <br />R� dNMalnt her <br />�AL SALES TAX CODEIS z1f <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTNES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAU3T FAN <br />OTHER� __�T <br />HEREBY C[RTIFY TNqT I HAVE READ AND E%AMINED THISAPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER 5PECIfIED HERE <br />)R NOT. THE GRANTI�G OF A PERM17 DOES NOT PRESUME TO GN[ AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br />>THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT � AM AUTMORItED <br />iY THE OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO � COMPLY WITH TME STATE <br />;ONTRACTORS lAW 18.27 RCW AND 298200 WAC. <br />Slgnature of OwnedCantnetodAuthorized Apant <br />Dete Q��OS/2008 <br />UI V11 <br />