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ii�o�iani� i�:o� xiei P.00z�ooa <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />,_ 3200 CEDAR STREET, EVERETT, WA 98201, 425 <57-8810 <br />425-257-8857 F!ll( ( ,. <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />3:t0 74 ST tiN', P.\'I�HI'.'I'T, 11'A v�,ns uusaauonnoi,un <br />I — <br />LEGALI LOT NO. BLOCK ITRACT <br />OWNER <br />RANI:"L. ILl:pfl: <br />TENANTNAME <br />CONTRACTOR <br />PA51' 14'Altilt FIh:AI'IiR C1)MI'AN1' <br />PHONE 4z'�36ao8y <br />PROPOSED USE OF <br />Residential <br />ADDRESS <br />3?0 74 5'I' SN' <br />� I:\'IiRlil�"I�.1VA 9S2U3 <br />CONTACT N/ <br />��SU� 'C, i A S�c�� <br />ADDRESS <br />I'G01 I i_'Nl� A�'I: NI: <br />F:IRKLANU.11'A 9b03d <br />Bulldinp MachaNc <br />PERMIT Comhlne�lon Plumhl�g <br />n'pE D�molilion Slyn <br />WORK DESCRIPTION Rcinovc KcpLicc G�is N'�icr Ilcater <br />------- EiATHTUB . � . <br />__ __ LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 UISPOSAL <br />______ DISHWASHER <br />______ LAUNDRY TRAY <br />�_„_ CLOTHES WASHER <br />URINAL <br />� DRINKINC FOUNTAIN <br />�� FLOOR DRAIN <br />_____ DACKFLOW PREVENTER <br />____ SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />561004 <br />PHONE <br />(425)347-1916 <br />� �� <br />PHONE <br />425-63G•70Y�( <br />CONTR.LICENSE# <br />I�AtiI'R'\1'119�1R13C. <br />UL04;2U12 <br />Allenqon Ela� <br />N�w a� <br />_______ A/C-AIHANDLING UNITS <br />FORCED AIR SVSTEMS <br />_____ HEAT PUMP <br />____ UNIT HEATERS <br />________ CLOTHES ORYER <br />__ _ RANGEHOOD <br />____�__ WATER HEATER <br />____ METAL FIREPLACEISTOVE <br />FIR[PLACE INSERT <br />6AS FIREPLACE <br />___ GAS FiANGE <br />___ GAS PIPING <br />____ EXHAUST FAN <br />OTHER <br />3105 <br />I HERF�V C[RTIFv T11�71 HAVF. READ AND EXAMINED THIS APLICATION AND HNOW TH[ SAME TO BE TRUE AND CORRECT. ALL <br />PHOVISIONS OF LAWS AND OHDIN�NCES GOVGRhING TIIIS TVPE Of WORK WIIL 0[ COMPLIEU YlIHT WHETNER SPECIFI[0 HEREI� <br />OR NOT. THE GRANTING OF A P[RMI7 �OES NOT PRESUId[ TO GN[ /1UTHORITV TO VIOLATL OR CANCEI TNE PROVISION OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. TMAT 1 AM AUTHORIZEO <br />BY THE OWNER OF THIS PROPEHTY 70 PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND I COMP�Y WITH TME STATE <br />CONTRACTORS LAW IB27 RCW AN� 290.200 WAC. <br />Ignaluro o( UwnodContraclorlAulhorixod Aqent <br />i <br />Date IIi07%_'UII <br />� � _ <br />ui.a� <br />