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� <br /> From: OE/1F/2011 12:39 R449 P.002/002 <br /> �--� PEfZMII�^ APPLiCATION � 545�°, <br /> i,���� ClTY OF EVERETT PERMIT SERVICES <br /> � " 3200 CEDi�R STREET, EVERETT, WA 98201 , 425-257-83?0 <br /> 425-257-8b;i7 FAX – -. <br /> SITE ADDRESS ^ PARCELTAX I.D.t� PE42MiT# <br /> ft04 47 ST SC,I'sVE1tH'TT, WA 98203 290531003027P7 <br /> • �'����� _ i <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> 804 47 ST SL <br /> P1L[.fi"I'I', ROU (425)252-6725 <br /> • GVERHI"1', WA 98203 <br /> TENANT NAiYIE CONTACT NAME PHONE <br /> N�%�P CA S�C 425-636-70 j/'�� <br /> CONTRACTOR ADDRESS CONTR.UCENSE# <br /> FAS'P WA"Clli I�IGA'PEIL COMYANY 12601 132ND AVE NL' PASI'1V�V119d8f3C <br /> HONE 425-636-70$1 KiRKLAND, �VA 98034 01/04/20I2 'I <br /> PROPOSED USE OF BUaLDING Buiidinp � MechaMca Addilton HEAT SOURCE ' <br /> PERMI7 Com61nn0on Piu�n�ing W��K Allara0on ElectAc � <br /> Residential 7ypE uamoii��on S�pn TYPE Nuw as <br /> 5 rinkler Re ntrfMalnt Iher <br /> CpNTRqCT PRICE OF WORIC � �(�S,— CITY OF EVERE'fT IOCAL SALES TAX CODEIS 31tl5 <br /> WORK DESCRIPTION R��ti�vc/Replucc Gus Watcr Ilcatcr <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURF. OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _______ WATER CLOSET _�___ A/C-A/HANDLING UNITS <br /> _______ BATHTUB _____ FORCED AIR SYSTEMS <br /> ____ LAl'ATORY (WASH BASIN) ,___ HEAT PUMP <br /> ___�_ SHGWER ^__ UNIT HEATERS <br /> _____ KITCHEN SINK & OISPOSAL ____ CLOTHES DRYER <br /> _______ DI5NWASHER _ _ RANGE HOOD <br /> ____ LAUNDRY TRAY ^�__ WATER HEATER <br /> _____ CLOTHES WASHER ___ METAL FIREPLACElSTOVE <br /> _^_ URINAL ____ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN �__ GAS FIREPLACE <br /> ___ Fl.00R DRAIN _ GAS FtANGE <br /> _A__ BACKFLOW PREVENTER +^ GAS PIPING <br /> ____ SINK (SERVICEIBAR/MOPfETC.) ___ EXHAUST FAN <br /> _____ OTHER_ OTHER______ <br /> 1 fIEREBY CER7IFY'fHAT I HAVE READ AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS TYPE OF W'ORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCnL LAW REGULATING CONSTRUCTION OR THE PCRFORMANCE OF CONSTRUCTION.THA'f I AFA AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO P[RFORM THE WORK FOR WH1CH APPLI�ATION IS MAOE AND I COMPLY WI7H TI1E STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296200 W� C. <br /> Signaluro of Own�dContractor/Authorizod Agant tL /;1 ���� Date U6/IS/201 I <br /> t�t. <br /> ui oa� <br />.*r <br /> K' <br /> p�:..--. .____. __ . .. . <br />