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From: 01 /t � 12017 10:45 R706 P.003/00; <br /> PERMIT APPLICATION 524037 <br /> �wi?,� CITY GF EVERETT PE�RMIT SEEtVICES <br /> 3200 CEDAR STf _ET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX �.�// �� <br /> SITE ADURESS PEiRCEL TAX I.D.# PERMIT# <br /> 107I2 5 AVL SE, IiVGRI"IT,WA 9R208 OQ744000001300 �q I I C �' C� �� <br /> l <br /> LEGAL LOT NO. BLOCK TRACT <br /> E <br /> OWNER ADDRE5S PHONE <br /> MACHADO, RICIIARDRSARAH MACFINinFRON'fIBR.COM <br /> (425)290-6895 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CqNTR.LICENSE# <br /> PAS7' \VATf:R HBATER CUMPAVY 12G01 132ND AVE NG Fn5'I W WHI4813C <br /> 425-63G7054 KIRI:I.AND, NA 9803�1 01!04/2012 <br /> PROPOSED USE OF SUI'LDING suudino Mecnaniea WORK Addidon H T SOURCE <br /> PERMIT Comhlnation ' PIum61n � Altaratlon ElacfAc <br /> Residenlia� 7ypE D�molilion Slpn TY�'E New as <br /> rinkl r R� alr/Malnl ther <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION RcmovdRcplace Electric 4Varer Ilritcr <br /> PLUMBING MECHANICAI. <br /> NO. TYPE OF FIX7URE OR ITEM NO. P OF FI%TURE OR ITEM <br /> _______ WA7ER CLOSET ______ AIC-A/HANDLING UNI7S <br /> _.____ BAY'HTUB �_____ FORCED AIR SYSTEMS <br /> _______ LAVATORY (WASH BASIN) HEAT PUMP <br /> _____ SHOWER ___ UNI7 HEATERS <br /> ____ KI7CHEN SINK & DISPOSAL ___ CLOTHES DRYER <br /> _______ DISHWASHER _ _ RANGE HOOD <br /> __.____ LAUNDRY TRAY __1 _ WATER HEATER <br /> �__ CLOTHES WASHER ______ METAL FIREPLACE/STOVE <br /> _�_ URINAL _`_ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> _+_ FLOOR DRAIN GAS RANGE <br /> _�__ BACKFLOW PREVENTER _�_ GAS PIPING <br /> ___ SINK (SERVICUBAR/MOP/E7G.) ___ EXHAUST FAN <br /> T___ OTHER____ OTHER_____ <br /> 1 HERE�Y CERTIFY THAT I 11AVE R[AD AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF LnWS AND ORDINnNCES GOVGRNING ThiIS lYPE OF WORK WILL BE COMPLIED WIHT WNETHER SPECIFiEO HEREI <br /> OR N07. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISiON OF ANY <br /> OTHER STATE OR IOCnL LAW REGULATING CONSTRUCTION OR THE PERFORlMNCE OF CON57RUCTION.THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH�CMi APPLICATION IS MADE AND I COMPLY 1YITM THE STATE <br /> CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> SlgnaWra of OwnodContrectorlAuthorized Agonl ����,����L���y�R4�p �ate Ol/!1/?UI I <br /> u��ai <br />