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frnm: 07/�9/2008 iD:32 N374 P.002/002 <br /> - PERMIT APPLIC�4TION 4106' <br /> ��i]� CITY OF EVERETT PERMIT SERVICES _ <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-25�-8857 rAX 7—v'� �6 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT# <br /> 1427100STS�� N116,EVCRE7"f, �4'A9870A '�;9C,000351Ii�00 r �-7 <br /> I��l�v� 7 - C.�:� ✓� <br /> LEGAL ' LOT NO. BI.00�C TRACT � <br /> �_--- — I <br /> OWIrF.R ADDRESS PHONE <br /> P,1RKER, INL7. 1427 I00 ST 5W d!16 <br /> .T. (M125)34R-0405 <br /> • GYGRG7 , WA 98204 <br /> TENANT NAME CONTACT NAME PHONE <br /> CO'NPIRMED Carol Randall <br /> _ 800-454-8955 x 133 <br /> CONTRACTnR ADDRESS CONTR.LICENSE# <br /> PAS7'WATi'RIILATi:RCOMPANI' I".u0i 132NDAVfNC fASTWWH946[3C <br /> 900-454-8955 KIRKI:AND, WA 98034 01/pq�2010 - <br /> PROPOSED USE UF BUILDING awiamo M�th�nici� nddmoo H T SouRbE <br /> PERMIT Combin�Non ' Vlumbinp WOHK NpnGo� El�ctrlc <br /> TYPE o.mo1111on sipn T�'P� Nsw �� <br /> � R� �IrlMalnt har <br /> CDI�TRAC7 PRICE OF WORK 5349.00 CITY pF EVERETT LOCAL SALES TAX CODEIy 3105 <br /> WORK DESCRIPTION Remove;Repincc!?lectric Weter Heater <br /> �PL'JMBIN6 [�,CIIANICAL <br /> NO • Of FIXTURE OR ITEM O TU R ITE <br /> _____ WATFR CL08ET _ AIC•A/FIANOLING UNITS <br /> _____ BATH�U6 FORCEQ AIR SYSTEMy <br /> _______ LAb'ATORY(WASM BASIN) HEAT PUMP <br /> _____ SHOWER _ UWIT HEATERS <br /> _____ KITCHEN BINK 6 DISPOSAL CLOTHE3 ORYER <br /> ______ DISHWASHER __ _ RANGE HQOD <br /> _____ LAUNDRY TRAY __� WATER HFJ�TER <br /> __�__ CLOTHE9 WASHER METAL FIREPLACEISTOVE <br /> ___ ___ URINAL _ FiREPLACE INSERT <br /> ____ DRINKIN6 FOUNTAIN OAS FIREPLACE <br /> ___ FLOOR ORAIN ~ GAS RANOE <br /> _____ BACKFLOW PREVENTER OAS PIPINO <br /> _ �.�__ SINK 19ERVICFJBAR/MOP/ETC.) ___ EXHAUBT FAN <br /> ----- OTHEn_ .. _ OTHER�--------------- <br /> I ---- --------------- ---- --------------- <br /> 1 HEREBV CERTIFV THAT I MAVF READ ANl7 E%AMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRFCT.ALL <br /> AROVI310.:3 OF LAWS I�NU ORDINANCeS GO�ERNING THIS TVPE OF WORK WILL BE :OMPLIED WIHT WHE7HER S{�ECIFIED HEREI <br /> OR NOT. fHE ORANTING OF A PER�AIT DOES NOT PRESUME TO aNE AUTHORITV TO�:OLATE OR CANCEI THE PROVISION OF ANY <br /> OTNER STA(F OR�OCAL LAW REuU1�1TING CONSTRUCTION OR THE PERFJRMANCE OF CONS?RUCTION.THAT 1 AMAUTHORI2ED <br /> BY TWE JWN[F'OF R115 PROPERTY TO PERFORM THE WORK FOR WMICH APPUCATION IS MAOF ANO 1 CQMPLY WITM TME STATE <br /> CONTRl�CTORS I.AW 1B.Y7 RCW AND 286.200 WAC. <br /> Siynaturo of OwnedCor,rrector/Authorized AQenl C��u���.P r���� <br /> 07/29/200R <br /> __. .__ u�wi <br />