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<br /> �� ` PERMIT APPLlCA�ION 46°86' � ~�`
<br /> `.� . ��i�� CITY OF EVERFTT PERMIT SERVICES
<br />�=��- ` 3200 CEDAR STREEI', EVERETT, WA 98201, 425-257-8810
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<br />„�,�� ,. 425-257-8857 FAX
<br /> �;'�" SITE ADDRESS PARCEL TAX I.D.# PERMIT#
<br /> w. {�., : -; 42G 4G ST SG,EIrERET7, WA 98203 O1014G00003200 �� //S'/�
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<br /> '~ �� LEGAL LOT NO. BLOCK TRACT
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<br />�: , :, OWNER AODRESS PHONE
<br />� 42G 46 ST SE
<br /> n� .s, MCFADDGN, MICHBLLE (425)252-7886
<br />�`���'�� � LVERETT,WA 98203
<br /> ;r,� ��: TENANT NAME CONTACT NAME PHONE
<br /> ..,,�F Carol Randall 425-636-7054
<br />' _ _":- . = CONTRACTOR ADDRESS CONTR.LICENSE#
<br /> �AST'NA'CCR HBATCIt COMPANY 12G01 132ND AVE t�TE FAS1'W WH948BC
<br /> . 425-636-7054 1�1RKLAND,WA 98034 01/04/2010
<br /> ' PR�POSED USE OF BUILDING eWminp etoahen�ca Aaditlon HEA7 SOURCE
<br /> .� PERMIT Comb�nalion Piumbin0 WOaK AllenOon Elecidc
<br />�>1 Residential
<br />�n�, TYPE Dumolilion Slgn TYPE New ac
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<br /> CONTRqCT PRICE OF WORK $4q9.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105
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<br /> Y �F: WORK DESCRIPTION �temove/Repincc Gns WaterHcater
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<br /> PLUMBlNG MECHANICAL
<br /> sy�s Nq. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIICTURE OR tTEM
<br />,,' -���;�t . WATER CLOSET _____ A/C�AIHANDLING UNITS
<br />�`` BA7NTU6 FORCEO AIR SYSTEMS
<br />,��¢ `�"' � LAVATORY (WASH BASIN) � HEAT PUMP
<br /> apy ��1 ____�_ SHOWER UNIT HEATERS
<br /> � ,� __�_ KITCFIEN SINK 6 DISPOSAL __ CLOTHES �RYER _
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<br /> DISHWASHER _ RANGEHOOD � ,,,,a_ ,..,
<br />'� LAUNDRY Ttt4Y ,
<br /> ��F�#. ---- � _ WATER HEATER �
<br /> `�' CLOTHES WqSHER METAL FIREPLACE/STOVE � ;
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<br /> URINAI. � FtREPLHCE INSERT
<br />, g f _ DRINKING FOUNTAIN ! GA.''i FIREPLACE
<br /> � � __ FLOOR DRAIN GAS RANGE
<br /> � ____ BACKFI.OW PREVENTER GAS PIPING
<br /> £ f� r SINK SERVICElBAR/MOP/ETC.
<br /> ��.. --- ( ) —�_ EXHAUST FAN {r���;�`��
<br /> OTHER OTHER_� «� „,�
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<br /> +;, n:y - 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINE�THIS APUCATIDN AND KNOW THE SAME TO BE TRUE AND CORRECL ALL � 'K�f�-��;��
<br /> ��; '�° PROVISIONS OF LAV1S AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMpLIED WIHT WHETHER SPEGFIED HEREI �'�-
<br /> � OR NOT.THB GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY � ��
<br />.. `,., � , OTHER STATE OR LOCAL LAW REGUIJ�TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIDN.THATI AM AUTHORIZED � .�-
<br /> � BY THE OWNER OF THIS PROPER7Y TO PERFORM THE WORK FOR WHICHAPPLICATION IS MADE AND 1 COM?LY WITH TME STATE �
<br /> '4 CONTRACTORS LAW 19.27 RCW ANO 298.200 WA0. '
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<br /> Signature of OwnodContrector/Authorizod Agont ��"�/�����QP Date 0/OS W �� '
<br /> r �— ' / 1 /2009
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