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,; �� ' .'ERMIT APPLICA'� �ON <br />��i�CITY OF EVERETT PERMIT SERVIGES <br />3200 CEDAR ; TREET, EVERETT, WA 98201, 425-257-8810 <br />017843 <br />SITE ADDRESS PARCEL TAX I.D.!� —� PERMIT# <br />:1 I I i PL SF:. 1:\'IiRET''. R'A 9820y <br />OWNER <br />1'O:\F:UM. �11CI� �I'L <br />uu�vox0000ic,00 <br />BLOCK <br />ADDRESS <br />23 I 13 PL SF: <br />I:VI:RI:1'T. WA 9R_OR <br />CONTACT NAME <br />PAMIiLA IIILL <br />CONTRACTOR IADDRESS <br />I'AS'I WA I IiN IIIiA T1iR COMPANS' 12G01 132ND AVI: NG <br />IJ2?�gIJ-312d <br />KIRKLANU, �VA 9H034 <br />PROPOSED USE OF BUILDINGI I�euuai�o <br />PERMIT Combin�llon <br />TYpE D�mollllon <br />Snrinkl�r <br />CONTRACT PR�CE OF WORK 5q4g.o0 <br />WORK DFSCRIPTION RcmuvcRcplarc Gas Watcr Hcatcr <br />� <br />WATER CLOSET <br />BATHTUB <br />LAVATURY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHE9 WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER <br />� <br />TYPE <br />(no3v3-oy I <br />PHONE <br />(425)355-134N <br />425 R14•3124 x133 <br />CONTR.LICENSEM <br />FASTWHC052DF <br />02! 1(�'2005 <br />Nbratlon <br />N�w <br />SALES TA7( <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT MEATERS <br />CLOTNES DRYER <br />RANGE HOOD <br />WATER HEATER <br />c1ETAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RAN(3E <br />(3AS PIPINO <br />EXHAUST FAN <br />I MEREBY CERTIFV THAT I HAVE READ AND EIfAMINED TMIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRGVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED HERE <br />OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTIiORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />01HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TYIE PERFORMANCE OF CONSTRUCTICN. TMAT I AM AUTNORIZEO <br />BY THE OWNER OF THIS P..OPERTY TO PERFORM TME WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITM THE STATE <br />CONTRNCTOkS LAW 78.27 HCW AND 298.200 WAC. <br />of OwnerlCanlraatorlAulhorized Apem ��� . ��_��'� /- Dat� Ol/25/2003 <br />UI V1� <br />