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From 1 09,02/2010 11:02 d064 P.002/002 <br />PERMIT APPLICATION 505955 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8610 <br />425 257-8857 FAX <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />1307 63 ST SE, ICVI:RC7T, WA 98203 <br />39290020080000 <br />LEGAL <br />LOT NO, <br />BLOCK TRACDFSC <br />OWNER <br />ADDRESS <br />PHONE <br />S'1'OUfiR, RIiN[iH <br />1307 63 ST SL <br />• f:VF.RF.TT, WA 98203 <br />(425)353-5543 <br />TENANT NAME <br />CONTACT NAME <br />PHOI4E <br />Carol Randall <br />42"36-7054 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />I-ASTWAIFRIIEATERCOMPANY <br />12601 132ND AVE NE <br />FASTWW119.1811C <br />KIRKLAND, 1V.` 98034 <br />01/04/2012 <br />pHON 425-636-7054 <br />PROPOSED USE OF BUILDING <br />Residential <br />PERMIT <br />TYPE <br />Bulldinp Mechanica <br />Combination Plumbinp <br />Oemolitlor Slpn <br />WORK <br />TYPE <br />Aed[Oon <br />Allaraaon <br />New <br />H T soURCE <br />ElecWe <br />as <br />Ra slr/Malnl <br />ther <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION ltcnx>vc/RcPiacc Lleciric W111Cr l icalcr <br />VV\`VU✓ ��� / <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />MECHANICAL <br />NO. TYPE OF FIXTURE ORITE <br />WATER CLOSET <br />___ <br />A/C•A/HANDLING UNITS <br />BATHTUB <br />____ <br />FORCED AIR SYSTEMS <br />____ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />___ <br />UNIT HEATERS <br />KITCHEN SINK 6 DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />RANGE HOOD <br />_ <br />LAUNDRY TRAY <br />_ _ <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />_�_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />_ <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />_ <br />OTHER _ <br />OTHER_-__—_--________ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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 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 STATE <br />CONTRACTORS I AW 18.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent , Ii (�_ Date 09;02/2010 <br />",.**I <br />