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frun <br />oii�+izoo� ii;is naso �.00ziooz <br />PERMIT APPLICATION 3570n0 <br />�wi�� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />� i o��n sr st��, r:viazi_�rr, �vn exzo� nnasa00000 iauo <br />-�------- <br />OWNER <br />i.nhi�i�i:nic, ct:okci: <br />TENANT NAME <br />CONTRACTOR <br />PAS'I' 1V,i11':R IIIiA71iR COAIPANY <br />PHON[ ('1?S)Rld-31?4 <br />PROPOSED USE OF BUILD <br />ADDRESS <br />ilo ��isl'su' <br />r:��eiti_ri.tan ��Hzu� <br />CONTACT NAHiE <br />Cnrul kanJ;dl <br />ADDRESS � <br />12GP1 132NU AVG KI.. <br />I:IRKLAND, 1VA 960�4 <br />woRK g.�.i�.on <br />WORK DESCRIPTION <br />KcmnrcrHcplacc (ias 11'alcr Ilcatcr <br />_______ WATER CLOSET <br />BATMiTU9 <br />_____ LAVATORY (WASH �ASIN) <br />____� SHOWER <br />_____ KITCHEN SINK 8 DISPOSAL <br />_____ DISHWASHER <br />_.____ LAUNDRY TRnY <br />,___ CLOTHES WASNER <br />_� __ URINAL <br />__.`_.. ORINKING FOUNTAIN <br />___ FLOOR DRAIN <br />______ BACKFLOW PREVENTER <br />______ SINK (SERVICE/BAR/MOP/E7C.) <br />____ OTHER _ . __. __ <br />Plumbin0 WORK <br />s�a„ TYPE <br />� PHONE <br />ia�siss>-� ; <br />PHONE <br />600 d25-S14-fl381 r I <br />CONTR.LICENSE# <br />FASI'1l'\1'H9JRR(' <br />II I'03Q008 <br />AdEilion HEAT SOURCE- <br />AlloraUon �Electnc <br />New as <br />Re nlrlMalnl Ihe� <br />;AL SALES TAX CODEIS 9105 <br />AIC•A/HANDLINO UNITS <br />FORCFD AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />OTHER_------------ -- <br />-----� ---------------------- i ------ i ---'-------------------- <br />I HERE(lY CERTIFY THAT 1 NAVE REAO �ND EW+MINED THIS APLICAT104 AND K40W THE SAME TO BE TRl1E AND CORRECT ALL <br />PHOVISIONS OF LAWS ANU ORDIN�NCES GWERNING THIS TVPE OF WORK WILL BE COMPUEO WIhT WHETHER SPECIFIED M[HER <br />OR NOT. THE GRANTING OF A PGRMIT DOES NOT PRESUME TO GIVC AUTHURITY TO VIOLATE OR CANCEL THF PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE�ULATING CONSTRUC7104 OR THE PERfORMANCE OF CONSTRUCTION. TH�T IAM AUTHORIZEO <br />EiY TNE OWNGR OF THIS PROPEHTY TO PEHFORM THL" WORK fOR WHICII APPLICATION IS MADEl�ND I COMP�Y WITH TNp STA1E <br />CON?RAC10R5 LAW 1U.27 RCW �NO 296.200 WAC. <br />naluro of OwnedCantroelor/Authorized Agem <br />. - �c.�:�-�r . <br />Dato ol"_a20o? <br />ui .:; <br />