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From: <br />SITE <br />10/i^'2011 09:05 #918 P.002/002 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX � (�_/ <br />p4RCEL TAX I D# PERMIT# <br />�izva srsi�:, evtau:rr, wn 9azos <br />OWNER <br />I1RfGMAN, VIRGINIA <br />CONTRACTOR <br />PAtiI' WATHR lil?Al'I>R CUMI'ANl' <br />PROPOSED USE OF BUILDI <br />Residenlial <br />ooai�zoouuosuu <br />ADDRESS <br />912 94 ST SG <br />� IS\'I:RIi"I`I�, N�A 9ri208 <br />CONTACT NAME <br />ADDRES3 <br />126U1 I32NU AVL NG <br />RIItI�LAND, WA 480?4 <br />DESCRIPTION �Z������,dKeplace I:Iectric N'aicr Ilenter <br />WA <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK R DISPOSAL <br />DISHWA9HER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOUR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOP/ETC.) <br />OTHER____— ._�-- —_ ___ <br />558651 <br />—I/ <br />PHONE <br />(425)353•4246 <br />PHONE <br />425-636-7G8� <br />CONTR.LICENSEA� <br />PASTW\4H'4RI3C <br />oiroanoiz <br />nlee WORK Add����� H T SOURCE <br />Inp NluHion Ebclrlc <br />rrre ,,.W ,� <br />R� �IrlMalnl ther <br />OF EVERETT LOCAL SALES TN( CODEIS 3105 <br />FORCED AIR SYSTEMS <br />FiEAT ��UMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />I WATER HEATER <br />METAL FIREPUICE/STOVE <br />� FIREPIACE INSERT <br />� 6A5 FIREPLACE <br />GAS FiANGE <br />—J--- 6AS PIPINa <br />---- <br />EXIiAUST fAN <br />----- OTHER--------------- <br />I--- I —�----------------. <br />1 HERFBY C[RTIFV THAT I HAVE RBAD AND EXAMINED THIS APUCATION AND NNOW THE SAMF TO BE TRUE AND CORRECT. ALL <br />PHUVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPF OF WORK WILL BE COMPUED WIHT WHETHER SPECIFIED HEREII <br />OR NOT. 7ME GRANTING OF A P[RMIT DOES NOT PRESUME TO GNE AUTMURITY TO VIOLATE OR CANCEL THE PROVISION OF M1V <br />OTHER STATE OR LOCAL LAW RFGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. TNAT 1 AM AUTHORI2ED <br />BY TNE UWN[R OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICM APPLICATION IS MADE ANO I COMPLV WITH TME STATE <br />CONT{'tACTURS LAW 18.27 FCW AND 296.200 N.�AC. <br />of OwnedConh�clorlAulhorized Agonl <br />D�te �p�13/2011 <br />u� �ai <br />