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From: 04/7"2011 14:09 n932 P.002/002 <br />PERMIT APPLICATION 537905 <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.# PERMIT# <br />1909 22 5"P, L"VERI:TT, NA 9R201 00439143801501 rj'� II �,/ _ /� , <br />y v_ <br />LEGAL LOT NO. BLOCK ITRACT <br />DE <br />OWNER ADDRESS PHONE <br />[iAI,OK, MICHACL ���y �Z S� (425)252-7206 <br />• GVERI�IT, WA 982U1 <br />TENANT NAME CONTACT N�dAE PHONE <br />-tc li � '�(S � � czs-s3saogt/ <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />I�AS'I'\VA1'@RIIFA'tGRCOMPANY 126U1132NDAVtiNH FpSTWW11948C3C <br />KIRKLANll, WA 98034 01/04/2012 <br />425-636-70 �f � <br />PROPOSED USE OF BUILDING �u��dinp h�acheNca qddition H T SOURCE <br />PERMIT Combinatlon Plumbinp WORK q�teratlon Elactric <br />R2Sidential TypE Damolllion Sign TYPE New as <br />r r Rs alrlMalnt ther <br />CONTRACT PRICE OF WORK '� S— CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Rcmovc/Reploce Glectric Watcr Ilcatcr <br />pLUMBING MECHANICAL <br />N. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />______ WATER CLOSET ______ qIC•A/HANDLING UNITS <br />___ BATHTUB ____ FORCED AIR SYSTEMS <br />_ _�_ LAVATORY (WASH BASIN) _�_ HEAT pUMP <br />__�__ SHOWER �__ UNIT HEATERS <br />____ KITCHEN SINK 8 DISPOSAL _^_ CLOTHES DRYER <br />_^ DISHWASHER _ _ RANGE HOOD <br />___ LAUNORYTRAY �___�__ WATERHEATER <br />�___ CLOTHES WASHER ___ METAL FIREPLACE/STOVE <br />,__ URINAL ____ FIREPLACE INSERT <br />______ DRINKING FOUNTAIN _ GAS F�REPLACE <br />_ FLOOR DRAIN GAS RANGE <br />___ BACKFLOW PREVENTER GAS PIPING <br />___ SINK (SERVICEIBARIMOPIETC.) ___ EXHAUST PAN <br />---- OTHER---- --- OT41ER------------------ <br />1 HEREOY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APLICAT�ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL � <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WIHT WHETHER SPECIFIFO HEREI <br />OR NOT. THE GRANTING OF A P[RMIT DOES NOT PRESUME TO GIVE AUTh{ORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br />OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />�Y THE OWNER OF THIS PROPERTI' TO PERFORM THE WORK FOR WHICFi APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br />Slgnaturo of OwnedContrector/Authorizod Agnnt Data �,y�z0/'LOl 1 <br />