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Irnn <br />� <br />: r� <br />01/09/2008 15:47 A998 P.002/002 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9f3201, 425-257-8810 <br />425-257-8857 FAX <br />SiTE ADDRE33 PARCEL TAX I.D # PERMIT� <br />;oi �� sT sw, r:vr_Rr:rr, wn 9szo, <br />OWNER <br />IIAYf)Lti, CIIISRYL. <br />E <br />CONTRACTOR <br />PAS'I' N'ATi?It IILiATER COINPANY <br />on�oR00000siuo <br />ADDRESS <br />501 7d Sl'ti�V <br />• f?VLltl�l�"i',\VA 9N:03 <br />CONTACT PIAME <br />Carol Randall <br />ADDRESS <br />12(01 132ND AVI; NIi <br />FIItIi1.AND, \VA 9R03�1 <br />Pt10NE 800•454-8955 <br />PROPOSED USF. OF BUILDING PERMIT <br />CONTRACT PRICE OF WORK gaa2oo <br />WORK DESCRIPTION �tan�vc/Itcpincc Gns 11'nicr I Icatcr <br />BATHTUB <br />lJ1VATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISPOSAL <br />DISHWASHER <br />LAUNORY TRAY <br />CLOTHE3 WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARiMOPIETC.) <br />OTHER <br />TRACT <br />390151 <br />li)1r�1.�. l <br />PHONE <br />(•125)355�020N <br />PHONE <br />00-454-8955 x 133 <br />CONTR.LICENSE# <br />PASTW W119�1811C <br />OI/04/2010 <br />Plumbinp 1 WORKI [�q�lantian <br />Slpn �r'PE gNsw <br />EVERETT LOCAL <br />� <br />FQRCEO AIR SYSTEMS <br />MEAT PUMP <br />UNIT HEATERS <br />CLpTHE3 ORYER <br />RANGEHOOD <br />WA7ER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RANGE <br />6AS PIPING <br />EXHAU57 FAN <br />OTMER_________�___ <br />SOURCE <br />- - <br />I NERFt7Y CERTIFV 1 HAT I HAVE READ AND EXAMINEO THIS nPLICATION ANO KNOW THE SAME TO BE 7RUE AND CORRECT All <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL 8E CAMPLIED WIHT WHETHER SPECIFl[D NERE <br />UR NO7. TME GRANTING OF A P[RMIT DOES NOT PRESUME TO GIV[ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTMER STATE OR LOCl�L LAW RF.GUTATIN(i L:ONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BV HL OWNER Of THIS PROPERTV TO PERFORM THt WORK FOR WHICHAPPIICATION IS MADF AND I COMPLY WITN THE STATE <br />CO' TRACTORS LAW 18.27 RCW AND 29G.2G0 WAC. <br />of Ownor/Cantraetor/Authorized Agent <br />����� Oate 01!OHl2008 <br />uiom <br />