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PFQMIT APPLICATIC V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK 1889 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> '_52057 ST SW, L•VERETI-, WA 98203 00813500002800 <br /> LEGAL LOT NO. BLOCK (TRACT <br /> OWNER ADDRESS PHONE <br /> 2520 57 S I SIV <br /> I tiI'h1AN,RUSSELL 0251407.1237 <br /> • f:VERETT, WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> rAN11.1.A 1111.1. L's sl•1.3124 x133 <br /> COt.TRACTOR ADDRESS CONTR.LICENSE# <br /> I :\SI "'AIIJ( IIP.AT'ERCOMPANY 12601132NDAVENE I:ASIWHC'052D1: <br /> PHONE (425)814-312.1 <br /> KIRKLAND,WA 98034 02/16/2003 <br /> PROPOSED USE OF BUILDING Building Mumt: WORK Admdon H RCE <br /> PERMIT Combination Mac hlnp Alteration Electric <br /> TYPE Demolition Slgn TYPE I ONew as <br /> Sprinkler L7 Repair/ Ther <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcrnovc/Itplacc Gas Water Hcatcr <br /> PLUMBING MECHANICAL <br /> NO TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET _ AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> ------- LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER _—_ UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL CLOTHES DRYER <br /> DISHWASHER _ _ RANGE HOOD <br /> LAUNDRY TRAY _�1 WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _— URINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN —__ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _—_ BACKFLOW PREVENTER —__ GAS PIPING <br /> _— SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> ----- OTHER------------- — ---- OTHER------- --------------- <br /> I HEREBY CERTIFY THAT I HAVE READ AND F,XAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE( <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signature of Owner/Contractor/Authorized Agom Date 0110512005 <br />