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p7I2Ai2011 10:46 R010 P.002I002 <br />f ror�i. <br />PERIVIIT APPLICATION 55°54' <br />,---�� =�- <br />CITY OF EVERETT PERMIT SERVICES <br />,,_, 3200 CEDAR STREET, EVERETT, WA 98201 �425-25? 68588FAX 5�- �'-�� <br />SITE A�DRESS ?ARCEL TAX I.D.# PERMIT# <br />i io�a i� Ni� w, r.vi.kerr, N'A 9820A oos�t60000iouo �/ �, <br />i Fr.ei t_OT k0. BLOCK �TRACT <br />OVVNER <br />BRONN, MIC(IAtiL <br />�:I_�iiL <br />CONTf2ACTOR <br />FAJ 1' NA'I'Llt I IL•ATER COMPANl' <br />��� 425-636-%0�� <br />PROFOSED USE OF BU <br />Residential <br />PRICE <br />ADDRESS <br />i tasa i� ri, w <br />• I:VERE'1"P. WA 9�204 <br />� ��<I!C' C a5,�-t-1 <br />ADDRESS `� <br />iz�>oi t3�N�nvenr <br />KI1tIiLAND, WA 98034 <br />Buildinp Mechanlcal WORK Addi <br />PERMIT Combinelion PlumClnp � a�e� <br />7ypE Gumolition Sign TYPE ^Now <br />WORK DESCRIPTION �temove/IteplaceGas Waterllcater <br />LAVATOftY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & OISPOSAL <br />DISHWASHER <br />LAUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.; <br />OTHER___ <br />G <br />PHONE <br />��,5�.��?.zsr <br />PHON[ <br />425-636-70rjN <br />CONTR.LICENSE# <br />i=nsrw�vi�9•isuc <br />Ol/04/2012 <br />SOl1RCE <br />ectric <br />is <br />LOCAL SALES TAX CODEIS 7105 <br />AIC-A/HANDLING UNITS <br />FORCED AIR SYS7EM5 <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS AP4ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT'NHETHER SPECIFIED HERE <br />OR NOT. THE GRFNTING OF A PERMIT DOES NOT PRESUME TO GIV[ AUTHORITY TO VIOLA7E OR CANCC-L THE PROVISION OF ANY <br />OTNER STAT[ OR LO(:AL LAW REGULnTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTHORIZED <br />0Y THE OWNER OF THIS PROPERTY TO PERFORh1 THE WORK FOR WHICH APPLICATION IS MADE nND 1 COMPLY WITH THE STATE <br />CONTF2l�CTORS LAW 18.27 RCW AND 29Ei.200 WAC. <br />Signature of OHmorlContrector/Authorizod Agant <br />Date ������?011 <br />ui a¢i <br />