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;-�� P�.RMIT APPLICATI�,�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK I 234 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> SjpS G A�'G SE, [iA'L"RGTT, AA'A 98208 OQGG0000001700 rn U`�L�(ii _ L �p' <br /> `i.l <br /> IEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> roncr_, �,�n�r:s ssox�,nve sE <br /> • �VF.RIiTT, NA 9R20R (425)355-143b <br /> TENANT NAME CONTACT NAME PHONE <br /> PA��IBLA FIILL 425 R14-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I AST\1'ATER IifATER CORIPANI' 12(i01 132ND AVI3 NL PASTNIiC052DP <br /> (4Z5)Sld-3124 KIRKLAND. AVA 9R034 02/16/2005 <br /> PROPOSED USE OF BUILDING Bu;ldinp Mechanica Addi�ion HEAT SOLIRCE <br /> PERMIT Combination Plumhing W�RK � Alteration []Eleclnc <br /> �ypE Demolilion Sign TYPE New as <br /> r n r Re atrlMalnt ther <br /> CONTRACT PRICE OF NJURK Sqq9.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WpRK DESCRIPTIDN <br /> Rcmoct%Rcplacc Gas \Va�cr Ilcatcr <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _______ WATER CLOSE7 ______ AIC•A/NANDLING UNITS <br /> ____ BATHTUB �_____ FORCED AIR SYSTEMS <br /> ____ LAVA.TORY (WASH BASIN) __�_ HEAT PUMP <br /> _______ SNO�NER UNIT HEATERS <br /> ____ KITCHEN SINK & DISPOSAL ___ CLOTHES DRYER <br /> ____ DISFIWASHER _ _ RANGE HOOD <br /> ____ LAUNDRY TRAY __�__ WATER HEATER <br /> �_ CLOTHES WASHER �___ METAL FIREPLACEISTOVE <br /> __ URINAI ____ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN ___ GAS FIREPlJ10E <br /> __ FLOOR DRAIN _ GAS RANGE <br /> ____ BACKFLOW PREVENTER __ GAS PIPING <br /> ___ SINK (SERVICEIBAR/MOPIETC.) ___ EXt1AU5T FAN <br /> I ____ OTHER_ ____ OTHER________________ <br /> I HERE9Y C[RTIFY THAT I HAVE READ AND EXAir�INED THIS APLICATION AND KNOW TI1E SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE Of WORK WILL BE COMP�IED WIHT WHETHER SPEC�FIEO HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES N07 PRESUME TO GIVE AU7HORITY TO\'IOLATE OR CANCEL THE PROV�SION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CUNSTRUCTION.THAT�AMAUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PEKFORh1 THE WORK FOR WHICH APPLICATCON IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAN' 1B.27 RCW AND 29620�WAC. <br /> SlgnaWrn of OwnedContractorlAuthorizod Agoni ����,_�G,,:- Date 06i08/2004 <br /> u�o�i <br />