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frnm <br />01/11/2008 14:42 q117 P.003/006 <br />PERMIT APPLICATIQ�iI <br />�wi�CITY OF EVERETT PERMlT SFRVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />1901 98 til' tili, I� V f RI> 1"1', WA 98206 <br />OWNER <br />IiJURGU, PA'ITY <br />CONTRACTOR <br />1'AS'I' N'ATP.R IIL:A'I'I:R ('UM111'AN}. <br />800-45A 8955 <br />ED USE OF <br />4P.CEL TAX I.D.# <br />008521oG0001U0 <br />ADDRESS <br />i9ui es s r sr_ <br />• I:VGRGTT, WA 9R208 <br />CONTACTNAME <br />Carol Randall <br />ADDRESS � <br />I?6Ui I)2NllAVGNIi <br />KIRKLANf), WA 96034 <br />91pn <br />CONTRACT PRICE OF WORK aA49.00 <br />WORK DESCRIPTION �temovc/Itcpince Gas Wator I leutcr <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK b OISPORAL <br />DISHiNASHER <br />LAUNDRY TRAV <br />CLOTHEB WASHER <br />URINAL <br />ORINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREYENTER <br />51NK (SERVICEIBARlMOP/ETC.) <br />_ OTHER�___. __ <br />PERMIT� <br />PHONE <br />390648 <br />rM125)i16-8714 <br />PHONE <br />800�54-8955 x 1�3 <br />CONTR.LIC�NSEN <br />PASTN'WF�194RE3C <br />01 /04l2010 <br />A/C-A/HANDLINO UNITS <br />PORCEO AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RAN6E HOOD <br />WATER HEATER <br />METAL fIREPLACEISTOVE <br />FIREPLACE INSERT <br />OAS FIqEPLACE <br />GA9RANOE <br />OAS PIPIN6 <br />EXHAUST FAN <br />SOURCE <br />IS <br />I NEREBY CERTIFY TIIAT 1 MAVE READ AND EXAMINEQ TM18 APUCATION AND KNOW THE SAME TO BE TRUE AND CORRFCT. ALl <br />PROVISIONS OF LAWS ANO OHDIN�NCES OOVERNINO THIS TYPE OF WORK WILL BE COMPUED W IHT WMETHER 5PECIFI[D HERE <br />OR NOC THE OMNTING OF A PERMIT DOES NOT PRESUME TO ONE AVTHORITY TO VIOLATE OR CnNCEI TIIE PROVISION OF ANY <br />OTHEl; STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTMORIZED <br />BV THE OWNER OF TI113 PROPERTV TO PCRFORM THE WORK FOR WMICIi APPLICATION IS MADE AND I COMPLY W�TH TIIE STATE <br />COVTRACTnRS LAW 1fl.27 RCW AND Z99.700 WAC. <br />of OwnarlContnctoifAuthori:ed ABent <br />O�t� O1/II/2008 <br />u� Mi <br />