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from: 10/28/9008 14:37 P411 P. 003/004 <br /> PERMIT APPLICATION 420569 — <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 ` <br /> � <br /> 425.257-8857 FAX p ap—Od <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 20 60 PI,SE,EVERETT, WA 911203 00794100001000 V 1 � <br /> LEGAL <br /> LOT NO. BLOCK T� RACT v r <br /> OWNER ADDRESS [ PHONE <br /> 20 60 1'L S17 PIANO, MARC (425)297-4243 <br /> EVERETT,WA 911203 <br /> TENANT 1CONTACTNAME PHONE <br /> _ j Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST WA]I%R IIIA['ER COMPANY 12601 132ND AVE INF. FASTWW11948BC <br /> 800 454-8955 KIRKLAND, \VA 98034 01/04/2010 <br /> E Q_ E _ <br /> PROPOSED USE OF BUILDING Building Mechanics WORK Additior H T SOURCE <br /> PERMITHOurnollilon <br /> Combination Plumbing Alteration leclrlc <br /> TYPE Sign TYPE Now as <br /> SmInkler Ra alr/Maint ihrr <br /> CONTRACT PRICE OF WORK E449.pD CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmove/Iteplacc Cas Walci Ilcntcr <br /> ('J,UMBING. MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE Q.KITEW_ <br /> WATER CLOSETAIC-A/HANDLING UNITS <br /> —----- BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) --_ HEAT PUMP <br /> —__ SHOWER —__ UN'T HEATERS <br /> --___ KITCHEN SINK 6 DISPOSAL —----- CLOTHES DRYER <br /> ------- DISHWASHER _ RANGE HOOD <br /> -------- LAUNDRY TRAY --- IWATER 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 /> ------- -------------------- ------ ----------------------------- <br /> I HERFBY CERTIFY THAT I HAVE REAL AND EXAMINED IHIS APLICATION AND KNOW I HE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <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 I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STAT E <br /> CONTR4CTORS LAW 18.27 RCW AND 208.200 WAC. <br /> Signature or Owner/Contractor/Authorized Agent C:.�asY'//'�!/ .,..Gr�'P Date 1028/2008 <br />