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,- .'ERMIT APPLICA'i ON <br />CITY OF EVERETT PERMIT SERVICES <br />•._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />019195 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />I I S 69 ST SE, I VERET'r. WA 98203 00392000003207 _ <br />LEGAL LOT NO. BLOCK TRACT <br />DE <br />OWNER <br />ADDRESS <br />PHONE <br />ODAMA, RON <br />115 09 ST SE <br />. ,A , )K_,03 <br />lit rRI:TT, \\ <br />. <br />14251710-0974 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PAn1ELA HILL <br />425 814.3124 x133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />EAST WATER IIEATER COMPANY <br />12o01 132ND AVE NE <br />FASTWHC052DP <br />PHONE 1425)514-3124 <br />KIRKLAND. WA 98034 <br />02/16/2005 <br />PROPOSED USE OF BUILDING Building Mechanics <br />Mecha is HEAT SOURCE <br />SOURCE <br />PERMIT Com6lnIII <br />WORK Alleredon Ele lric <br />EAddition <br />TYPE Demolition Sign TYPE New as <br />r r Re eirlMalnl Iher <br />CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Remevc/Replace (ius \\:dCi I Ic;ner <br />UMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />_-_ <br />....... <br />WATER CLOSET <br />_______ <br />AIC• -HANDLING UNITS <br />------- <br />BATHTUB <br />------- <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />—_ <br />HEAT PUMP <br />------- <br />SHOWER <br />_— <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />_ <br />CLOTHES DRYER <br />------- <br />DISHWASHER <br />RANGE HOOD <br />------- <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />_ __ <br />METAL FIREPLACE/STOVE <br />URINAL <br />_ _ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />_ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />_� <br />GAS RANGE <br />------- <br />BACKFLOW PREVENTER <br />_ <br />GAS PIPING <br />------- <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 />OTHLR 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 Agent r...,--' = Date <br />