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Irun: 07/27/2009 10:01 P406 P.002/002 <br />m w <br />PERMIT APPLICATION 452517 <br />CITY OF EVERETT PERMIT SERVICES <br />`. 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />1622 72 5T Sr, GVGitCTT, WA 98203 <br />0115399001008U0 <br />/ <br />LEGAL <br />LOT NO. <br />BLOCK <br />TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />RIANGOLU,'TON1 <br />I622 72 Sl' SIf <br />(425)347 _56(I <br />1:VGRL IT, WA 911203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />CarolRanoall <br />425-636-7054 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />l <br />PAS'1'\VAThIt11GATP.RCPHONE <br />I:G01132NDAVE NE. <br />PAS'tWWH94RHC <br />425-636-7054 <br />RIRI:LAND, WA 98034 <br />0004/20111 <br />PROPOSED USE OF BUILDING eulletnp Mechanlce � <br />Addltlon H T SOURCE <br />PERMIT Combinatlon Plumbinp WORK <br />Nbntlen Electric <br />TYPE Dnmolillorr Sign TYPE <br />New ss <br />CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT <br />Re drlMelnl ther <br />LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />RemuveQicploce Electric Water Herter <br />PLUMBING <br />MECHANICAL <br />1YPE OF FI%TURF ITEM <br />I <br />PE OF FIXTURE R ITEM <br />WATER CLOSET <br />__ <br />A1C•A/HANDLING UNITS <br />BATIiTU9 <br />FORCED AIR SYSTEMS <br />'------ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />--___ <br />KITCHEN SINK 3 DISPOSAL <br />_ <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />_ <br />WATER HPIITER <br />CLOTHES WASHER <br />METAL FIREPLACE/STr;JE <br />URINAL <br />FIREPLACE INSERT <br />—�_ <br />DRINKING FOUNTAIN <br />_ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />_ <br />OAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ <br />EXHAUST FAN <br />__--- <br />OTHER---_—_--- <br />OTHER--_--- - <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COAIPLIEU WIHT WHETHER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TILE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT IAM AUTHORIZED <br />BY THE OWNER OF 71115 PROPERTY TO PERFORM THE WORK FOR 'NHICH APPLICATION IS MADE A"10 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 299.200 WAC. <br />Signature of Ownor/Contractor/Authorizod Agent Dete <br />�' 07/27/20119 <br />