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P �RMIT APPLICATIvN <br />���� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK I 25R <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT� <br />2R I IJ ST SI:, IiVC•RETT, 1VA 9R20R 00790R00002000 /✓lDyd/ -(�y'2 <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />DUDAROV, VALERIl' �l 1'IiVGf:N �R I 13 ST SE <br />• 1'sV@RL•TT, WA 9A20R (425)348-02R2 <br />TENA�TIdAME CONTACTNAME PHONE <br />PAMGLA HILL q25 814-3124 x 13J <br />CONTRACTOR ADDRESS CONTR.LICENSEM <br />I'AST W.1TGR HE3ATIiR COMPANl' 12601 132ND AV[ NG pASTWHC052D� <br />(425�R14-3124 KIRKLAND,IVA 9R034 02/IG/2005 <br />PROPOSED USE OF BUILDING euudmp M�enaniu Addition H T SouRCE <br />PERMIT Combin�lion Vlumbinp W�RK Alt�ntlon El�elrlt <br />TYPE D�mollUon Slpn T�'PE N�w i� <br />R� �IdMalnl her <br />CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Rcmovc/Rcplacc Gas Wa�cr Ilcatcr <br />PLUMBING MECHANICAL <br />OF TUR I E OF xTUR R ITEM <br />_____ WATER CLOSET ______ A/C•AIHANDLIN6 UNITS <br />_____ BATHTUB ______ FORCED AIR SYSTEMS <br />___�_ LAVATORY (WASH BASIN) __�_ 11EAT PUMP <br />__�__ SHOWER __ UNIT HEATERS <br />_____ KITCHEN SINK 6 OISPOSAL _ CLOTHES DRYER <br />______ DISHWASHER __ �_ RANGE h00D <br />______ LAUNDRY TRAY ___I__ WATER HEATER <br />____ CLOTHES WASHER METAL FIREPLACE/STOVE <br />___ URINAL _y^ FIREPLACE INSERT <br />_�_ DRINKING FOUNTAIN OAS FIREPLACE <br />___ FLOOR DRAIN �__ GAS RANaE <br />_�__ BACKFLOW PREVENTER __ GAS PIPINO <br />__�_ SINK (SERVICEIBAR/MOP/ETC.) _�_ EXHAUST FAN <br />____ OTHER_ OTHER_____ <br />I MEREBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APLICATION AND NNOW THE SAME TO BE TRUE AND CORREC7. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF rVORK WILL BE COMPLIED WIHT WMETMER Sf`ECIFIED HEREI <br />OR NOT. TNE GRANTI�!G OF A PERMIT DOES NOT PRESUME 70 ONE AUTHORITY TO VIOLATE OR CANCEL THE PROVi510N OF ANY <br />OTHER STA7E OR LOCAL LAW REGUUTING CONSTRUCTION UR TME PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED <br />BY THE OWNER OF THIS PROPERTY TC PERFORM THE WORK FOR WHICH APPIICATION IS MADE AND 1 COMPLY WITH TME STATE <br />CONTRACTORS LAW iB.21 RCW AND 298.200 WAC. <br />Slpneture of OwnedContnetorlAuthorized Apem ��'� �`� ���� OI/IS/2004 <br />U11/ll <br />