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; w P�^RIiIIIT �PPLICATIC N <br />c✓�� �CITY OF EVERETT PERMIT SEFt�010ES � <br />,._ <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 ���� U' <br />cK�sa� <br />SITE ADDRESS PARCE! TAX I.D.# PERMIT# <br />;ip1 33 AVL W, LVGRf_'I'l'. WA 9A?Oi 00396700401000 n� �����i <br />/ f U� / <br />LFGASCLI LOT <br />DE <br />OWNER <br />CORf301'. 6RIAN <br />TENANT NAME <br />ADDRESS <br />ssoi �� nvs �v <br />i'I"P. WA 98203 <br />CONTACT NAME <br />PAtd1ILA IiILI. <br />CONTRACTOR IADQRESS <br />{ AS'I' \VA"fliR IiGATIiR COMPANY 12601 13?ND �tiVfi VE <br />KIRKLAND. N',1 kiU3+ <br />PHONE (�'-'>Kw-312�1 <br />PROPOSED USE OF BU <br />CONTRACT PRICE OF WORK g349.00 <br />WORK DESCRIPTION Rcmove/Rcplace Gleciric \�'ater liea�er <br />WATER CLOSET <br />BATHTUB <br />LAVAI'ORY (YNASH BASIN! <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLnW PREVEN7ER <br />SINK (SERVICEIBARIMOPIETC.) <br />OTHER_,____ __ <br />PHONE <br />raastii;-iat; <br />PHONE <br />a35 std-. �'�i s� �3 <br />CONTR.LICENSE# <br />PAST\1'l ICOi?DP <br />02' I G,'007 <br />i: 7URCE <br />:r lric <br />7'�PE I f'�New <br />CITY OF EVERETT LOCAL SALES TAX CODE�S 3105 <br />MECHANICAL <br />� <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTN ER------------------------ <br />1 HEREfi'I CERTIFY THAT I HAVE ReAD AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OP,DINANCES GOVERNING THIS TYPE OP WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />OR NOT. THE GRANTIhG OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORIN TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />6Y THE OWNER OF THIS PROFERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE A�'7 I COMPLY WIl'H THE STATE <br />CONTRhCTORS LAW 1627 RCYJ ANO 296.200 WAC. <br />SignaWre of OwnedContractorlAuthorized Ageni .- �.,.'� = Date 07,'?G72005 <br />ev o2i <br />