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� � r� I��JL�u v � I <br /> i ', S —i <br /> � Zoo4 P.�RMIT APPLICATII.N <br /> __ CITY OF EVERETT PERMIT SERVICES <br /> c�. . '�Fj��00 CEDAR STREET, EVERETT, WA 98201, 425-257-8$90 <br /> Fr,-;,n^cnnn�Puhllr, �er i, : <br /> CKIS19 <br /> SITE ADDR�SS PARCEL TAX I.D.# PERMIT# <br /> 5810 I l AVE N,EVERETT,IVA 98203 00836700006'/00 �'V���p,� "� I <br /> I � l <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> CIIIEN,DANG 5810 I 1 AVE V✓ <br /> • LVERETT,WA 98203 (425)349-2812 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAb1ELA FIILL q25 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST�VATGR IIEATBR COMPANY 12601 132ND AVE NE FASTWFIC052DP <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSHD USE OF BUILDING Buildinp M�chanlca pdditlon HEAT SOURCE <br /> PERh917 Com6inatlon PIum6ing WORK q�teroUon EleetAc <br /> � TYPE Domalilion Sign TYPE New as - <br /> r r Ra a1rlMalrt � ther <br /> CONTRACT PRICE OF WORK S449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Removc/Rcplacc Gas Watcr I Icatcr - <br /> UMBI MECHANICAL <br /> NO. NPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _____ WATER CLOSET ______ A/C-A/HANDLING UNITS <br /> _,__ BATHTUB __ FORCED AIR SYSTEMS <br /> _______ LAVATORY (WASH BASIN) __, HEAT PUMP <br /> ______ SHOWEk ___ UNIT HEATERS ,- <br /> _____ KITCHEN SINK $ DISPOSAL _�__ CLOTHES DRYER <br /> ___ DISHWASHER _ RANGE HOOD <br /> _____ LAUNDRY TRAY ,�__ WATER HEATER <br /> ___ CLOTHES WASHER __ METAL FIREPLD,CElS70VE <br /> ___ URINAL ____ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _____ BACKFLOW PREVENTER __ GAS PIPING <br /> ___ SINK {SERVICEIBARIMOP/ETC.) ___ EXHAUST FAN <br /> ---- OTHER_ �—_ OTHER------____------ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRIiE AND CORP.ECT.ALL - �� <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI � � <br /> AR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> THER STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR THE P'cRFORMANCE OF CONSTRUCTION.THAT I AMAUTHORIZED �� <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COt.iPIY WITH THE STATe �i <br /> CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> Signaturo of OwnedContractorlAuthorized AgeN ��G-r�G� Date 03/24/2004 <br /> oi.oai <br />