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�� cRMIT APPLIC�4T►JN <br /> GITY OF EVERETT PERMlT SE�2VICES <br /> •_ 320C CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 691820 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5616 IU DR N,EVGRETT,WA 98203 OJ836700008200 rn O� 2 ,�3, / <br /> �� `7 <br /> LEGAL LOT NO. BIOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> CAi,LANTA,GONZALO&ROMA 5616 10 DR W � <br /> • 8V8R@TT, WA 98203 (42,)349-257] <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMHLA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRrSS CONTR.LICENSE# <br /> PAST\VATER HEATER COMPANY 12G01 132ND AVE NE <br /> PASTWHC052D� <br /> (425)814-3124 K[RKLAND,WA 98034 02/IG/2003 <br /> PRQP05ED USE OF BUILDING Bulldinp Machanlca Addit(on HEAT SOURCE <br /> PERMIT Combinatian Plumbing WORK /U�erotlon [�Eleetrie <br /> TYPE Demolilion Sipn T'PE New as <br /> r r Ra atrlMalnt ther <br /> CONTRACT PRICE OF WpRK S449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3^OS <br /> WORK DESCRIPTION <br /> Removc/Rcplacc Gas Watcr Hcatcr <br /> UMBIN MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR I7EM <br /> _____ WATER CLOSET A/C-A/HANDLING UNITS <br /> ____ BATHTUB --- -- <br /> �____ FORCED AIR SYSTEMS <br /> LAVA70RY(WASH BASIN) HEAT PUMP <br /> �__ SHOWER _ UNI7 HEATERS <br /> _____ KITCHEN SINK 8 DISPOSAL C�OTHES DRYER <br /> _____ DISHWASHER _ RANGE HOOD <br /> ______ LAUNDR'(TQAY �,� WATER HEATER <br /> ____ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> __�_ URINAL FIREPLACE IN;'ERT <br /> ___ ORINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _____ BACKFLOW PREVENTER GAS PIPING <br /> ____ SINK (SERVICE/BAR/MOP/ETC.) EXHAUS7 FAN <br /> ____ OTHER_ ---- <br /> ___ OTHER_____ <br /> 1 HEREBY CERTIFY THAT I H,4VE READ AND El(AMINED 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 SPECIFIEO HEREI <br /> OR NOT.THE GRANTING OF A pERMiT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICHAPpLICATION IS MHDE AN�1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signalure o(OwnerlContrectorlAutho�ized AgeN �r Date 03/L/2002 <br /> ..i�"/_- —�t�'%" o <br /> oi aai <br />