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frun: 01i22i2010 14:37 p431 P. 002/002 <br /> - PERMIT APPLICATION 4i670' <br /> CITY OF EVERETT PERMIT SERVtCES <br /> `.`%" r 31.00 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-BB57 FAX <br /> SITE ADDRESS PARCEI.TAX I.D.# PERMIT# <br /> ?.12 100 Sl'tiF.. GVI:RI:1"I, 1VA 'i,t20R 28U.52000202-000 <br /> � � �- � _ �-,- .> .�, <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> voi.vt.SI:IY. CUWARU�VAt.UN.IR zz3ziuusrsr: <br /> • GVIiRIi'I'I'. WA 9A20E la�s�sz��-azz� <br /> TENANT NAME CONTACT NAME <br /> <�u:asnic�a vrr--�ut.ui Pur�nrsF. PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> r•nsr��•nrtat �ii:nriatc�Mrn*�v iu�oi �izr�nve �e <br /> � fAS'I'N'1t'119�7313C <br /> KIIi1:I.ANI), 1VA 9i�Uid <br /> �^NF 425-83fi-7054 OIi04i201'_ <br /> PROPOSED USE OF BUILDING ^ eund��a M�eh�Nc� AddiUon H nT SOURCE <br /> PERMIT Com61n�0on PIum0lnp W�� AlUntlon El�tlrle <br /> Reslden�ial �ypE O�molllion e�p� 7YPE Naw �� <br /> CONTRACT PRfCE OF WORK � , Ra ��dM��nt ther <br /> S3AJ q0 CITY OF EVERETT LOCAL SALES TnX CODEIS 3105 <br /> WORK DESCRIPTION <br /> RrmuvcALepLmc I:Icctric Nmcr I lcatcr <br /> PLUMBING h1ECHANICAL <br /> P OF TU O PE OF XTUR R ITEM <br /> __,__ WATER CLOSET AIC•A/HANDLIN6 UNITS <br /> --__ BATHTUB � FORCED AIR SY9TEM5 <br /> LAVATORY(WASH BASIN) —�-- <br /> __�___ SHOWER --- 1/EAT PUMP <br /> UNIT NEATERS <br /> _._.____ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> �__ DISHWASHER RANGE HOOD <br /> ____ LAUNDRY TRAY �I WATER HEATER <br /> —�_ CLOTHE3 WASHER METAL FIREPLACElSTOVE <br /> �_ URINAL � FIREPLACE INSERT <br /> _�_ DRINKING FOUNTAIN GAS FIREPLACE <br /> ______ FLOOR ORAIN GAS RANOE <br /> _____ BACKFLOW PREVENTER GAS PIPINO <br /> ___ 91NK (5ERVICE/8ARlMOP/ETC.) E%HAUST FAN <br /> —-_= OTHER� _____ _ — _ 07HER_.»_-,�---------- <br /> 1 HERE�Y C[RTIFY THl�71 NAVE READ AND EKAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE ANO CORqEC7.ALL <br /> PROVISIONS OF LAWS�ND ORDINANCES GOVERNIN6 THIS TYPE Of WORK WILL BE COMPLIEO WIHT WHETNER SAECIFIED HEREI <br /> OR NOT.TME GRANTING OF A PERMIT DOES NOT PRESUME TO 6NE AUTHORITY TO VIpI.NTE OR CANCEL TMF PROVISION OF ANY <br /> OTMER STAT[OR LOCAL LAW REGUV�TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAi I AM AUTHORI2E� <br /> BY THE OWNER OF T1115 PROPERTY TO PERFORA7 THE WORK FOR WHIChIAPPLICATION IS MAOE AND I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 1tl.27 RCW AND 288.200 WAC. <br /> Slpneture o(UwnedContraelor/Authori:od Aeonl �� �������P Dat� <br /> � O I i22/2010 <br /> uirv <br />