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f =RMIT APPL,ICAT: )N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />_. <br />CK'_479 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />2903 19 ST, EVERE"11', WA 98201 <br />00605400800100 <br />1144 5-:& <br />LEGAL <br />LOT NO. <br />BLOCK <br />DESC. <br />(TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />2903 19 Sl" <br />ANUERSON. KE<vNl FI1 <br />(425)259-2490 <br />EVERETT, WA 98201 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PAMELA HILL <br />425 814-312-1 s133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />I'ASI' WA'1'ER ((EATER COMPANY <br />12601 132ND AVE NE <br />I-ASTWIIC052DI' <br />PHONE (425)814-3124 <br />KIRKLAND, WA 98034 <br />02i 16i2007 <br />PROPOSED USE OF BUILDING <br />PERMir <br />Building MechanIca <br />WORK <br />Addition <br />HEAT SOURCE <br />Combination Plumbing <br />I <br />Alteration <br />I <br />EElectric <br />I <br />TYPE <br />Demolition Sign <br />TYPE <br />New <br />as <br />Sprinkler <br />Re airlMainf <br />ther <br />CONTRACT PRICE OF WORK S349.00 <br />JCITYOF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION Remove/Replace Electric Water Beater <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />AIC-A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />------- <br />LAVATORY (WASH BASIN) <br />_______ <br />HEAT PUMP <br />SHOWER <br />--__ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />—_ <br />CLOTHES WASHER <br />--___ <br />METAL FIREPLACEISTOVE <br />URINAL <br />FIREPLACE INSERT <br />—_ <br />DRINKING FOUNTAIN <br />—__—_ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGF <br />BACKFLOW PREVENTER <br />—__ <br />GAS PIPING <br />_— <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />—�_ <br />OTHER— <br />------ <br />OTHER------------------------ <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE( <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI—Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of OwnerlContractor/Authorized Ageni '� j. Date 06/27/2005 <br />Ui 9" <br />