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From <br />U3/��/2007 08:56 N785 P.002/003 <br />PERMIT APPLICATiON 3EZa45 <br />CITY OF EVERETT PERMIT SERVICES <br />,_ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />4G0% 21 DR W, EVERETT, WA 98203 00895600000500 �/1 G7G � G�� <br />11'� <br />OWNER <br />IIAGAN, DWIGHT <br />ADDRESS <br />aso� z i Dx w <br />• F.VFRFTT, 14A 98203 <br />CONTACTNAME <br />Pamela I Iill <br />CONTRACTOR ADDRESS <br />1�AS7' WA'1'ER I-IEATER COA1PANY 12601 132ND AVE NE <br />(425)814-3124 KIRKi.Atd7�, NA 98034 <br />PHONE <br />PROPOSED USE OF BUILDING aw�d�np Meehan�ca <br />PERMI7 Combinalfon Plumbinp WORK <br />TypE Damoli�ion Siyn T�"PE <br />CONTRACT PRICE OF <br />WORK DESCRIPTION <br />WATER <br />5449.00 <br />Remove/lteplace Gus Water Henter <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />�AUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFI.OW PREVENTER <br />SINK (SERVICEIBAR/MOPlETC.) <br />OTHER_ <br />� <br />PHONE <br />(435)Si3-8271 <br />PHONE <br />800 a54-8955st;; <br />CONTR.LICENSE# <br />Fr�ST W W F1948DC <br />01/03/2006 <br />Alluration <br />New <br />COPEIS 3105 <br />A/C-AlHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER--------------------- <br />H'eREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AN� CORRECT. ALL <br />ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />iR NOT. THE GRANTING OF n PERAIIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />�THER STATE GR LOCAL LAW REGULATINCa CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TH/�T I AM AUTNORIZED <br />Y THE OWNER OF TtilS PROPERTY TO PERFORAI THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN TNE STATE <br />��ONTRACTORS LAW 16.27 RCW AND 298.200 WAC. <br />ignatura of OwnedContrector/Autharizod Agem r,._-:,-�:_ ����:�-� Date 03/16l2007 <br />wi o�� <br />