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; ^� ' PER11A17 APPLIC� �'ION <br />(���� CITY OF EVEREiT PERMIT SERVICES <br />F 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />r,ixi�i <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />i � i i� PL til'. L•\'I:Ri;TT. �1'A ��xzox oo���oHoo,ioiaoo (h03a 5-G/ �{ <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />Tl�. IIIIiV I3 I 13 PL Cli <br />• [iVGRI:TT. WA 9R20ri (4251348-R279 <br />TENANTNAME CONTACTNAME PHONE <br />1'AMI;LAIIILL 425 N14-3124x113 <br />CONTRACTOR ADDRESS CONTR.LICENSEN <br />P:�SI' \1'ATIiR HLATI3R COM1tI'ANl' 12601 IJ2ND AVG NG pASTWHC052Df <br />(425)Nld-312J KIRKLAND, WA 9R0)4 02/16/2005 <br />PROP05ED USE OF BUILDING euudinp M�ehsnlOa WORK �d111O" H T SouRCE <br />PERMIT Combin�uon Plumbin Aluntlon ENetAe <br />TYPE D�molilion 81pn TYPE N�w Gas <br />R� �IrIMNnI har <br />CONTRACT PRICE OF WORK 544v.o0 CITY OF EVERETT LOCAL SALES TAX CODEIS J105 <br />WORK DESCRIP710N kcmu� c Rcpince (ias 1V;ucr Ilca�cr <br />M I ' MECHANICAL <br />OF TUR I E 0 P OF XTUR R ITE <br />___ WATER CLOSET ______ A/C•A/HANDLIN6 UNITS <br />___ BATHTUB �_____ FORCED AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) ______ HEAT PUMP <br />__ SHOWER ___ UNIT HEATERS <br />___ KITCMEN SIkK 6 DISPOSAL __�__ CLOTHES DRYER <br />___ DISHWASHER __ _ RANGE HOOD <br />____ IAUNDRY TRAY __�__ WATER MEATER <br />�_ CLOTHES WASHER ____ METAL FIREPLACE/STOVE <br />URINAL FIREPLACE INSERT <br />__ DRINKING FOUNTAIN _�_ pA3 FIREPIACE <br />, FLOOR DRAIN ____ GAS RANaE <br />____ BACKFLOW PREVENTER _� dAS PIPIN6 <br />___ SINK (SERVICfJBARIMOP/ETC.) ___ ExHAUS7 FAN <br />---- OTHER--- ---- --- OTHER------------------- <br />1 HEREBY CERTIFV TIiAT I MAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS IYPE OF WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED MEREI <br />OR N07, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RFGULATING CONSTRUCTION OR TME PERFORMANCE OF CONS7RUCTION. TMAT 1 AMAUTHORIZED <br />BY THE OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WMICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW ANO 298.200 WAC. <br />Sipnelure of OwnedCantnetorlAuthorized Apani �—y� �� /.- Dds OS/OG/2003 <br />U1 NI <br />