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frnm: 09/02/2009 14:49 tt833 P.Q02/002 <br /> �:�F � ;,> >: -�- PERMIT AppLICATION �56864 <br /> CITY OF EVERETT PERMIT SERVICES <br /> �._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> A25-257-8857 FNC <br /> SITE ADDRES3 PARCEL TAX I.D.# ?ERMIT# <br /> zisoiuosrs�v, i:vrrsr:rr, wnsa�ux nusss�000aat,00 � <br /> C _ l <br /> L�AI.I LOT NO. �B�OCK ITRACT <br /> OWN R ADDRESS PHONE <br /> KI IAN, IASAftAI' PO BCIX 2� <br /> • IiOT71F.I.L. 0.'A 98U�11 (20G1940-07J1 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 4?5-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> fAti f 1VA�11°.K IILATP.R C(]A1i'ANY 12G01 I?2ND AVH NC <br /> fASTW�l'119M1RBC <br /> H�� �125-G36-7D54 KIILkLANU, WA 9R034 01/04!2010 <br /> PROPOSED USE OF BUILDING ew�d�np Machanlea Addlllon H 7 SOURCE <br /> PERMIT Comhlnallon Slun bin9 TY EK ater�llon El�clrto <br /> TYPE Oemolilion p NaN, a� <br /> CONTRACT PRICE OF WORK q, � Re alrAHa�nt Iher <br /> 534 00 CITY OF EVERETT LOCAL SALES TAX COOEIS 3705 <br /> WORK DESCRIPTION <br /> Hcmovc!Keplucc I�:Icctric N'mcr I Icater � <br /> PLUMBING <br /> NO. OF F TUHE O I EM MECHANICAL <br /> __—__ WATER CLOSET PE OF FIXTURE OR ITEM <br /> _____ BATHTUB ------ aC-A,'HANOLINO UNITS <br /> -_-___ LAVATORY(WASH BASIN) ----- FORCL:D AIR SYSTEMS <br /> ____ SHOWER ----_ HEAT pUMP <br /> _______ KITCHEN SINK d DISPOSAL ---- UNIT HEATERS <br /> ___�_ OISHWA9HER ------ �LOTHES ORYER <br /> _._____ IAUNORY TRAY --- -- RANGE HOOD <br /> � WATER HEAiER <br /> —__._ CLOTHE9 WASHER METAL FIREPLACEISTOYE <br /> __._ ___ URINAL � FIREPLACE INSERT <br /> __�__ DRiNKING FOUNTAIN ~ pqS FIREPLACE <br /> _____ PLOOR �RAIN � GAS RANGE <br /> ____ _ BACKFLOW �REVENTER �� GAS PIpINO <br /> _______ SINK (9ERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> _ �_ OTHER --- <br /> - --- ---------- ---�_ OTHER <br /> I MFRFRV CCR7IFV 711AT I HAVE RGAD/�ND E%AMINED THIS APLICATION AN�KNOW TNE SAME TO BE TRUE ANO CORFECT.AlL <br /> PROVISIUNS OF LAWS AND OHUINANCES GOVERNWG THIS NPE Of WORK WILL BE CUMaUEO WIHT WHETHER SPEGf'IEp M[REI <br /> OR NOT 'HE GRANT7NG OF q pERMII DOES N01�PRESUM[ TO(iIVE AUTNORI/Y TO VIOLATE OR CANC6L TF1E PROVISION OF qNY- <br /> OTHER STA7@ OR LOCA��W qFGULATINC CON51'RUCTIpN OR TME PERFORMANCE OF CONSTRUCTION.TMAT IAMAU7HOFIZEO <br /> BY THE OWN[R OF TNIS PROPEqTY TO pERFpRM THE WORK FOR WHIC�IAPp�IL'ATI041S MAOF AND 1 COMP�Y WITH THE STA7E <br /> CONTR/1CTORS lAW 1p.27 RCW ANO?OR.2p0 WAC. <br /> Sipnnture of OwnedContnetor/Aulhorlxed Ayont l����,� �, -� <br /> 7 �.�a.,�sdp D�te 09/02;2009 <br /> ui r�i <br />