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Irnm: O6/�'�2008 14:06 N842 P. 002/005 <br /> PERMIT APPLICATION 405301 <br /> �wi�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> A25-257-8857 FAX �' - L' '' I�� <br /> SITE ADDRES3 PARCEL TAX I.D.# PERMIT# <br />� 713 107 PL Sfi,I:VLRF.TI', WA 9R20A 00397000004302 r <br /> L r � � <br /> LEGAL LOT NO. BLOCK TRACT <br /> D <br /> OWNER ADDRESS PHONE <br /> P.LI,MAKCR,Kf�:11.H 7I3 107 PI. SI? <br /> � GVISRI:'I"I�, WA 98208 (A251350-Y410 <br /> TENANT NAME CONTACT NAME PHONE <br /> Cerol Randell 800-454-8955 x 133 <br /> CONTRACTOR ADDRE8S CONTR.LICENSEM <br /> PASI�WA'PF:RIIP.A'Il'RCOMPANV 12601132'JDAVf:NIi FASTWWH94RBC <br /> F 800-454-8955 KIRKI.ANP, WA 98034 01/04/2010 <br /> PROPOSED USE OF BUILDIN� eunat�o M�ah�nle� dlNrn H t SouRCE <br /> PERMIT Combinallon Plumbinp WORK N����tlon EleetAe <br /> TYPE D�mollllon 81p� T�PE N�w Ga� <br /> R� �ItlMalnt i 4h�r <br /> CONTRACT PRICE OF WORK aq4V.00 CITY OF EVERETT LOCAL 6ALE8 TN(CODEIS 3105 <br /> WORK DE9CRIPTION <br /> Itemo��c/Rcpl�ice(ins Wn�cr Ilratrr <br /> PLUM B ING MECHANICAL <br /> � ' � O OF TU R IT <br /> ______ WATER CL03ET ___ q/C-A/MANDLIN6 UNITS <br /> _ __ BATMTUB _____ FORCED AIR SYSTEMS <br /> _______ I.AVATORY (WASH B.4SIN) ___�_ HEAT PUMP <br /> ______ SHOWER __ UNIT HEATERB <br /> ______ KITCHEN SINK 6 DISPOSAL _�_ CLOTHES ORVER <br /> ______ DISHWA9HER _ _ RAN6E MOOD <br /> _______ IAUNORV TRAV _1 WATER HEATEH � <br /> _____ CLOTHES WASHER ___ METAL FIREPLACE/6TOVE <br /> ____ URiNAL _ FIREPLACE INSERT <br /> __.__ DRINKINO FOUNTAIN pA8 fIREPLACE <br /> _._.__ FLOOR DRAIN GAS RAN6E <br /> _____ BACKFLOW PREVENTER ___ 6A9 PIPINO <br /> ___ 81NK (9ERVICE/HAR/MOPIETC.) ___ EXHAUST FAN <br /> ---- OTHER--- -- --- OTHER--------------- <br /> 1 MEREBV CERTIFV THAT I MAVF RE/1D AND EXAMINED THIS APLl::AT10N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIN(3 THIS TVPE OF WORK WILI BE COMPLIED WIH7 WHETHER 9PECIFIEO MBREI <br /> OR NOT. TME ORANTING OF A PERMIT DOES NOT PqESUME TO C�IVE AUTNORITY TO VIOLA7E OR CANCEL TrIE PROV19pN OF ANV <br /> OTHER STATE OR LOCAL IJ.W REGUlA71N0 CONSTRUCTION OR TME PERFORA�ANCE OF CONSTRUCTION.THA71 AMAUTHORIZED <br /> BY rHE OWNER OF THIS PROPEkTY TO PERFORM THE WORK FOR WMICH APPLICATION IS M1U�E AND 1 COMPLV WITH 7'HE S7ATE <br /> CON7RACTORS LAW 1927 RCW AND 299.200 WAC. <br /> Sipnalure of Owner/Contnctor/Aulhorl:ed Apent ���1�p �pP p��� <br /> '�"" 06/04R006 <br /> U1}ql <br />