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P._RMIT APPLICATIuN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />('K10xx <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />e0x 92 ST SE, EVERETT. WA 98208 <br />00s1.12000u0200 <br />��� <br />(LLD-bc <br />LEGAL <br />LOT NO. <br />BLOCK <br />_DE$ <br />— <br />(TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />I "� '(il:, (' O" '1" <br />I..608F92 ST SF <br />(425)353-8289 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PAMELA II[LL <br />425 814.3124 s133 <br />CONTRACTOR <br />-I <br />ADDRESS _ CONTR.LICENSE# <br />PAST WA I]t HEATER COMPANY <br />1'601 132ND AVE NE <br />FASTWHC•052DI' <br />p)jQNE (425)914-3124 <br />KIRKLAND, WA 99034 02 t6/2005 <br />Sulldlnp MachonlCa Addition H A7 SOURCE <br />PROPOSED USE OF BUILDING <br />PERMIT Combination Plumbing WORK Alteration Electric <br />TYPE DamoIilion Slpn TYPE Now as <br />r r Ro aIrm Int Cher <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />CONTRACT PRICE OF WORK $349.00 <br />WORK DESCRIPTION <br />RCnu:vdRcpltacc Electric Water I IcatCr <br />— <br />--_-...-.._..__.-..-... <br />WATER CLOSET <br />-1. <br />ITr' Ur VIA UK UR ITEt <br />------- <br />AIC-AIHANDLING UNITS <br />------- <br />BATHTUB <br />— <br />FORCED AIR SYSTEMS <br />------- <br />LAVATORY (WASH BASIN( <br />_ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISPOSAL <br />_-- <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />_ __ <br />RANGE HOOD <br />LAUNDRY TRAY <br />_—I <br />WATER HEATER <br />CLOTHES WASHER <br />--__ <br />METAL FIREPLACEISTOVE <br />—�_ <br />URINAL <br />— <br />FIREPLACE INSERT <br />—__ <br />DRINKING FOUNTAIN <br />__— _ <br />GAS FIREPLACE <br />—_—_ <br />FLOOR DRAIN <br />_ _ <br />GAS RANGE <br />—_—__ <br />BACKFL.OW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.1 <br />—__ <br />EXHAUST FAN <br />— -I <br />--- ` __--_- _--- --_ <br />--- <br />OTHER <br />--_---- --- <br />------------------------------ <br />I HEP•FBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 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 PFRFORMANCE 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 18.27 RCW AND 296.200 WAC. <br />ISlpnetunf of Owner/Contractor/Authorized Apenl ��' �—'.. Date 0l ,x 2004 <br />m }m <br />