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P'"RMIT APPLICAW N <br />,- <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK 17,15 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />1610 71 1'ISI . IiVERE17, WA 98203 <br />004,12300000900_- <br />c <br />LEGAL <br />LOT NO. <br />BLOCK <br />DE <br />(TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />I (,10 71 1'I . SP. <br />Itl1BBS, P:RNEST <br />025)355-5972 <br />FVlflil`.T7, WA 'I81_03 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />14VMI'.I-Allll.l. <br />.125 RI4-3124s13i <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />PAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />I'ASTWIIC052DF <br />KIRKLAND. WA 98034 <br />02/16/2005 <br />(425)RI4-3R4 <br />PROPOSED USE OF BUILDING <br />Building Mechonlca <br />'_ <br />WORK <br />Additlon <br />HEAT SOURCE <br />PERMIT <br />Combinallon Plumbinp <br />- Alteration <br />Elecln- <br />TYPE <br />Demolition Slpn <br />TYPE <br />New <br />as <br />Sytinkler <br />Re alr/Malnt <br />(her <br />CONTRACT PRICE OF WORK <349.U0 <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remo%c Replace Electric \\;ner I lealcr <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />------- <br />WATER CLOSET <br />------- <br />A/C-A/HANDLING UNITS <br />__ _ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />____ <br />LAVATORY (WASH BASIN) <br />_______ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 DISPOSAL <br />___ <br />—_ <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />__—� <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />—__ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />____ <br />SINK (SERVICE/BAR/MOP/ETC,) <br />EXHAUST FAN <br />_ <br />---- <br />OTHER------ ----- --- - <br />----- <br />OTHER----------------- - <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS 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 IAM 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 10.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent Date I U17'20(W <br />