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;-. 1�-RMIT APPLICATtt �N <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> ' 3200 CEDAR STREET, EVERETT, WA 98201 , 425-257-8810 <br /> CK2614 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> s�i� io o�ise, eveaerr, WA 98208 00801300001300 /VtUSD�r —O/(, <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> 8717 10 DR SG (qi5)?90-5659 <br /> DCLCORRO, I.OURDL'S . BVHRGTT, WA 98208 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMCLA HILL 425 814-3124 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> P.4ST\VAT�R FIGATGR COMPANY 12G01 132ND AVG NG PAS'i'WHC052DP <br /> KIRKLAND, WA 98034 02/16/2007 <br /> (425)514-31^_4 <br /> PROPOSED US�E OF BUILDING Buildinp � Meehanica WORK Addition HEAT SOURCE <br /> PERMIT Combination Plumhing Alleration QElectric <br /> TypE Damolilion Sign TYPE New Gas <br /> S r n I r Re eIrlMalnt Other <br /> CONTRACT PRICE OP WORK $449.00 CITY OF EVERETf LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remoee/Replace Gas Watcr tleater <br /> �.UMBING MECHANICAL <br /> NO. TYP� OF FIXTURE OR ITEM __ NO. TYPE OF FIXTURE OR ITEM <br /> W.4TER CLOSET ______ AIC-AIHANDLING UNITS <br /> BATHTUB ______ FORCEL' ,41R SYSTEMS <br /> LAVATORY (INASH BpSIN) ___�_ HEAT PUMP <br /> SHOWER ___ UNIT HEATERS <br /> KITCHEN SINK 8 OISPOSAL _�__ CLOTHES DRYER <br /> DISHWASHER ____ _ RANGE HOUD <br /> LAUNDRY TRAY __�__ WATER HEA"fER <br /> � CLOTHES WASiiER _� METAL FIREPLACEfSTOVE <br /> URINAL ____ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _,_ GAS FIREPLACE <br /> FLOOR DRAIN _!_ GAS RA�GE <br /> BACKFLOW PREVENTcR ___ GAS PIPING <br /> � SINK (SERVICEIBARIMOPIETC.) ___ EXHAUST FAN <br /> ---- _ OTHER-------------------- <br /> OTHER_ . --- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE ANI)CORRECT ALl <br /> PP.OVf310NS OF LAWS AN�ORDIN"NCES GOVERN�NG THIS NI'E OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO 3IVE AUTNORITY 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 /> 6Y THE OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Ia��r�.'�naturo of OwnedContractodAuthorized Ageni r _:- ��,'"�_ � Date OS/03/Z005 <br /> L_�__ .. ' � u�nni <br />