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From: 10/1��2008 13:29 tt�08 P. 002i002 <br /> P�RMIT APPLICATION 418573 <br /> �� 1 CITY OF EVERETT PERMIT SER`JICES <br /> 320U CEDAR S'i REET, EVERETT, WA 98201. 425-257-8810 <br /> ._ <br /> 425-257-8857 FAX �p ��3_�� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 9025 11 PL W,LVERETT, NA 98204 00745200003100 /� /j��7/ � _ _, l� <br /> � e" � �� UL <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DES <br /> OWNER ApDRESS PHONE <br /> DERBY,HEATI-IER 9025 I I 1'L W <br /> • GVGRBTT,NA 98204 (425)355-5365 <br /> TENANT NAME CONTACT NAME PHONE <br /> �_ Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST�VA'CL}L HtiATLR COMPANY 12601 132ND AVE NL <br /> FASTW 1VH94 8I3C <br /> 800-454-8955 1'1RK1"AI�D>WA �8034 O]/04/2010 <br /> PROPOSED USE OF BUILDING Buildfnp Mechanlc� Additlon HEAT SOURCE <br /> PERMIT Comhination PIum61n; WORK .Vloratlon Electric <br /> TYp@ Demolilion Sipn T�'PE Now as <br /> S rl r Re a1rAAalnt lhar <br /> CONTR.4CT PRICE OF WORK 5349.00 CIIY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK �ESCRIPTIDN Rcmovc/Reploce Electric Nater Henter <br /> PLUMBII�C htECHANICAL <br /> N . TYPE OF FIXTURE OR ITEM NO. TYPE QF FIXTURE OR ITEM <br /> _^__ WATER CLOSET AIC•AIHANDLING UNITS <br /> ____ BA7HTU9 PORCEO AIR SYSTEMS <br /> __.___ LAVATOF2Y(WASH BASIN) �� HEAT PUMP <br /> __ SHOWER UNIT HEATERS <br /> _,__ KITCHEN SINK 8 DISPOSAL C�OTHES DRYER <br /> ___ DISHWASHER RANGE HOOD <br /> ___ LAUNDRY Tf:AY � WqTER HEA7ER <br /> _`_ CLOTHES WASHER METAL FIREPLACElSTOVE <br /> __._ URINAL � FIREPI.ACE INSERT <br /> ___ DRINKING FOUNTAIN ^ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br />� � SINK (SERVICE/BAR/MOP(ETC.) EXHAUST FAN <br /> ____ OTHER ___ OTHER�_�____,R <br /> I HEREBY CERTIFY TH ^ � ! � <br /> AT I HAVE READ AND EXAMINED THIS APLIGATION AND KNOW TH[SAME TO 8E TftUE AND CORRECT.qLL <br /> PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS 1YPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GR,4MTIhG OF A PERMIT DOES NO'f PRESUME TO GIVE AV7HORITY TO V.�LATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUtATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I hM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERPORM THE WORK FOR WHICH APPLICATtON IS MAOE AND t COMPLY WITH THE STA7E <br /> CONTRACTORS LAW 18.27 RCW AND 290200 WAC. <br /> Signaturo of OwncrlContractar/Authorizod Agant �,��,.�f���P Date 10/13/200� <br /> t!i vrtt <br />