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I7 on: 05/07/2010 11 :29 #096 P. 002/002 <br /> PERMIT APPLICATION 400602 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425.257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2402 58 I'1- SW, EVERETT,WA 98203 00813500000300 <br /> LEGAL LOT NO. BLOCK TRACT <br /> _AES^ <br /> OWNER ADDRESS <br /> PHONE <br /> 13ALLARD,JLRRY& THERESA 2402 581'1,SW <br /> • EVERET11', WA 98203 (425)349-2814 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASTWATER III:A'I I;R COMPANY 12601 132ND AVIC NL I'ASTWWH949BC <br /> 'HONE 425.636-7054 KIRKLAND, WA 911034 01/04/2012 <br /> PROPOSED USE OF BUILDING Building Mecham :8 Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK Alteration Electric <br /> Residential TYPE Ozollllon P - TYPE New Gas <br /> r _ <br /> RepolilMUnt Other <br /> CONTRACT PRICE OF WORK 1.1.19,00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> INORK DESCRIPTION <br /> IWiw%c/Rcpluce Das Weler licntcr <br /> PLUMBING MECHANICAL <br /> TNOF UR 1 E OF UR R E <br /> TER CLOSET ______ A1C-A/HANDLING UNITS <br /> THTUB ____ FORCED AIR SYSTEMS <br /> VATORY (WASH BASIN) HEAT PUMP <br /> OWER __ UNIT HEATERS <br /> CHEN SINK d DISPOSAL _ CLOTHES DRYER <br /> SHWASHER RANGE HOOD <br /> UNDRY TRAY __ __ WATER HEATER <br /> OTHES WASHER _ METAL FIREPLACE/STOVE <br /> INAL ___ FIREPLACE INSERT <br /> INKING FOUNTAIN GAS FIREPLACE <br /> OOR DRAINGAS RANGE <br /> CKFLOW PREVENTER _ GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC,) EXHAUST FAN <br /> OTHER______ OTHER <br /> rNERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW 711E SAME TO BE TRUE AND CORRECT,ALL <br /> S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BF. COMPLIED WIHT WHETHER SPECIFIED HCREI <br /> E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> IE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> ORS LAW 16.21 HCW AND 296.200 WAC. <br /> Signature o/Owner/Contractor/Authorized Agent C-",S^ l"4.'-A.,, V-do�, Date ,� <br /> 05/07/20111 <br /> ui y, <br />