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�rom: 05/29/2007 13:02 fl322 P.002/002 <br /> r�^ <br /> PERMIT APPLiCATION 3667'19 <br /> CITY OF EVERETT PERMIT SERVICF_S <br /> 3200 CEDAR STREET, EVERETI", WA 98201, 425-257-881Q <br /> 425-257-8857 FAX S�3 0 'v7 <br /> SITE ApDRESS AARCEL TAX I.D.# PERMIT# <br /> 5G20 14 DR W 1;206,EVGRETT, WA 98203 00847701720600 ' `� <br /> `'� r. I�_� i_ ��� <br /> LEGAL LOY NO. BLOCK TRACT <br /> OWN�R ADDRESS PHONE <br /> G8NN15,ML'LVIN 5G20 14 DR W#206 (q25)349-2032 <br /> • EVERSTT, WA 98203 <br /> TENANTNAME CONTACTNAME . PHONE <br /> Pamela Hill 800-454-8955 x 133 <br /> CON7RACTOR ADDRESS � CONTR.LICENSE# <br /> PASTWA`I'ERHEATLR.COMPANY 12G01132NDAVENE FASTWWF19a8BC <br /> (425)814-3124 KIRKLAhD,WA 98034 O1/03/2008 <br /> PROPOSED USE OF BUILDING Buildtnp Machanica qddit�on HEAT SO:IRCE <br /> PEftMIT _ Com�lnellon Plumbing WO�K Altoration 1EIcc1Ac <br /> TYPE Oemolitlon Slgn T�'PE New ac <br /> , 5 rl i Re �airlhlalnt thcr <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTIDN Rcmove/Rcplace Gas Watcrlleatcr <br /> �UMBING �41ECHANICAL <br /> NO. TYPE OF FIXTURE pR ITEM NO. l'YPE OF FiXTURE 4R I7EM <br /> _______ WATER CLOSET _____ A/C-A/HANDL!NG UNITS <br /> ______ BATHTUB _,___ PORCED AIR SYSTEMS <br /> _ _____ l.AVATORY (WASH BASIN) _�_ HEAT PUMP <br /> _____ SHOWER ___ UNIT HEATERS <br /> _____ KITC4EN SINK & DISPOSAL __!_ CLOTHES DRYER <br /> ____ DISHWASHER __ _ RANGE HOOD <br /> __^_ LAUN�RY TRAY _ 1__ WATER HEATER <br /> ___ CLOTHES WASHER ___ iNETAL FIREPLACE/STOVE <br /> _ UKINAL ___ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _—__ BACKFLOW PREVENTER __ GAS PIPING <br /> ____ SINK (SERVICE/BAR/MOP/ETC.) ___ EXN4UST FAN <br /> ____ OTHER_ ___ OTHER____�__,�_ <br /> 1 --- — — --- -------- -- <br /> 1 HEREBY CERTIFY 7HqT I HAVE READ AND EXAMINEO THIS APUCATION AND KNOW THE SAME TO BE TRUE ANO CORRECL ALL ^ <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILt.8E COMPLIED W!HT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GWANTING UF A PERMIT DOES NOT PRESUME TO GIVE AUTHOP,ITY TO VIOLATE OR CANCEL THE PR9VISION OF ANY <br /> OTHER STATE OR LUCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AAA AUTHORIZE� <br /> BY THE OWNER OF TFiIS PROPERTY TO PERFGRM THE WORK fOR WHICH APPLICATIOY IS��tAOE AND I COMPIY WITH THE STA7E <br /> CONTRACTORS lAW 18.27 RCW ANO 206.20D\'JAC. <br /> Signaturo of GwnerlContractorlAuthorizad Ageni �'� '– 6ate <br /> �`�'l�- �–�=�`� OS/29/2007 <br /> ct�ani <br />