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fron: 03/OB/2010 11 : 17 tl063 P. 002/0�3 <br /> , l <br /> REQMIT APPLICATIGN �82824 <br /> � ' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257 9857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.� PEFtMIT# <br /> �A30 W CASINO RD fll 13, F.VF.R1:7"1', WA 98204 00865701111300 , � <br /> 1"1 :_> - �k �`1- <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRE88 PHONE <br /> AR7'I IUR.tiNIC 1430 W CASINO RU HI I3 <br /> • BVGRIi7'I', WA 982U4 (425)719-7GI7 <br /> TENANT NAti1E CONTACT NAME PHONE <br /> J'U a,47�3-IIAVE 4 ON IIAND Ct,rol Rendall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICC-NSE# <br /> I�AS�WA'I'I:Itlllir',7'ERCOMPANY 12G01132NUAVCNP. ��ASI'�VN'lIv4XHC <br /> 425-836-7054 KfRKLANb,WA 98034 01/04l2012 <br /> PROPOSED USE OF BUILDING ew�e�np M�eh�mc� Addillon H T &OURCE <br /> PERMIT Com61n�11on PIum6lnp WORK /���ntlon Elaclrl� <br /> Residen�ial 'rypE U�mollUon g�o� TYPE N�r,, �� <br /> R� drlMHnt her <br /> CONTRACT PRICE OF WORK 3q49.00 CITY OF EVERETT L6CAL SALES TAX CODEIS �105 <br /> WORK DE9CRIP710N Rcmovc/IiepinceGas Wuterllcater <br /> PLUMBIN6 MECHANICAL <br /> N OF U 1 E OF %TUR Il <br /> _____ WATER CLOSE7 _ A/C-A/HANDLIN6 UNITS <br /> —____ BA1'HTU9 FORCED A�R SYSTEMS <br /> LAVATORY '----•- <br /> _______ (WASM BA£IN) _ MEAT PUMP <br /> __� SMOWER UNIT HEATERS <br /> _____ KITCHEN SINK 6 OISPOSAL CLOTHES DRYER <br /> ___ DISHWASHER � RqNGE HOOD <br /> __��_ LAUNDRY T�`AY � WATER HEATER <br /> ____ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _.__ URINAI FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN OA8 FIREPLACE <br /> _ FLOOR DRAIN GA9 RANOE <br /> _____ BACKPLOW PREVENTER GAS PIPIN6 <br /> _ 91NK (BERVICE/BARlMOP/ETC.) EXHAUA7 FAN <br /> --- OTHER^ -- ��_ OTHF.R_._�------------ <br /> I MEREBY CERTIFY THA�"I NAVE READ AND EICAMINEO THIS APLIC/1TION AND KNOW THE 9/.ME TO BE TRUF AND CORRECT.ALL <br /> PROVISIONS OF LAWS i�ND tlRDINANCES G9V[RNING THIS TVPE OF WORK WILL BE COMPLIEO WIHT WNETHER SPECIFIED MEREI <br /> OR NOT.THE OR/1NTIN�;OF A PERMIT DOES NOT PRESVME TO ONE AU7HORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCP�LAW RE(3UtATIN6 CONSTRUCTION OR THE PERFORMANCE OF CONSTRVCTION.THnt�µ�AUTHORIZED <br /> BY THF OWNER Of TMI:i PitOPERTY TO PERFORM THE WORK FOR WHICM APPIICATON IS A1ADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS lAW 19.47 RCW AND YBC.?00 WAC. <br /> Slynelure o(OwnodContrnetoNAulhorixad ABen� (���,i�Li � ,,,(�.11p Dab <br /> � 03/OB/2010 <br /> ui}ai <br />