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From: 09/15/2009 09:43 �956 P.002/002 <br /> ( <br /> PERMIT APPLICATION 45'469 <br /> dP ain� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERAAIT# <br /> 2116 48 ST SE, BVHRGTT, WA 98203 0050040010210I <br /> i'VI gog- a� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> 2114 48 ST SE <br /> VIKL'ORA,CAROLYN � (425)330-6268 <br /> • EVERE"f'C, WA 9R203 <br /> TENANT NAME CONTACT NAME PHONE <br /> PU EXP'1'ANK W/32626 AT 2049 Carol Randall <br /> 425-636-7054 <br /> CONTRACTOR ADDRESB CONTR.LICENSE# <br /> PAS'I'WATER HIiA'PL•R COMPANY 12601 132NU AVE NE FAS'1'W WH94813C <br /> A25-636-7054 h�RKI.AND,WA 98034 Ot/04/2010 <br /> PROPOSED USE OF BUILDING BulldlnB Maehantca WQRK AddlQon H T SOURCE <br /> PERMIT Combinallon Plumbinp Altentlon ElaeMe <br /> Residential TypE o.monuon sipn TYPE Naw as <br /> R� �IqMalnl ther <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3705 <br /> WORK DESCRIPTION Remove/Replace Electric Wntcr f Ieater <br /> PLUMBING MECHANICAL <br /> TYPE OF FIX UR O I E OF FIXTUR R ITE <br /> ___—__ WATER CLOSET _^___ A/GA/FIANDLIN6 UNITS <br /> __�__ BATHTUB _____ PORCED AIR SYSTEMS <br /> ___ LAVATORY (WASH BASIN) HEAT PUMP <br /> ____— SHOWER �__ UNIT HEATERS <br /> _____ KITCHEN SINK d DISPOSAL _� CLOTHES DRYER <br /> ___�_ DISHWASHER RANGE HOOD <br /> ______ I.AUNDRYTRAY _�� WATERHEATER <br /> ____ CLOTHES WASHER ___ METAL FIREPLACEISTOVE <br /> ____ URINAL ___ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> ___ FLOOR DRAIN _, C.AS RANGE <br /> _____ BACKFLOW PREVENTER __ l',AS PIPINO <br /> __ SINK (SERVICE/BAR/MOP/ETC.) _�_ IXHAUST FAN <br /> ---- OTHER_ --- OTHER-- --���_ <br /> 1 HEREBY CERTIfY THAT I HAVE READ AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPEGFIED MEREI <br /> OR NOT.TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR UJCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THATI AM AUTHORI2ED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MHOE ANO 1 COMPLY WITH THE STA7E <br /> CONTRACTORS LAW 18.27 RCW AND 238.20D WAC. <br /> Signalura of OwnerlContractor/Aulhorized Apent �y,�,,�y��f�,,",faBp Date 09/15/2009 <br /> u�_wi <br />