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from: U6/19/��10 16:20 q231 P.002/002 <br /> . i <br /> PERMIT APPLICATION 49,�° <br /> ����� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> a2e•zs�-ees� Fnx 5-'al�ll� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 820 C CADY RD tIH102,EVBRGTT,WA 98203 00G93200610200 I,Y.I O` v 3 <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> HOLCOMD, LINDA g20 E CAUV RD NI{Ip2 425)290•I883 <br /> • 13YLIiL'IT,WA 98203 � <br /> TENANTNAME CONTACTNAME PHONE <br /> VILLAGB UY T[iL LAKE CONUJS Carol Randall 425-638-7054 <br /> CONTRA�1'OR ADDRE33 CONTR.LICENSEN <br /> FAST WA7'GR H6AT8R COA1I'ANY 12G01 132ND AVG 4E <br /> fASTW WH9480C <br /> 425-838-7054 KIRKLAND,WA 98034 Oi/04/2012 <br /> PROPOSED USE OF BUILDING ewm�np M�chanla AdCltlon T SOURCE <br /> PERMIT Combin�tlon - Plumelnp WORK N��pUon I��td� <br /> ResldanNel r(pE O�mdilton Blpn T�'P� N�w �s <br /> R� drlMHnl <br /> CONTW►CT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALE$TN(CODEIS �105 <br /> WORK DE9CRIP710N Remove/Replece Clectric Wnter Heakr <br /> PLUMBIN6 MECNANICAL <br /> � O U I F E - <br /> ____ WA7ER CL08ET �__ A/GNHANDLINO UNITS <br /> ____ P�At'H7U9 FORCED AIR SYSTEMS <br /> ______ LOVATORY (WASH BASIN) ,_ HEAT PUMP <br /> __�_ SHOWER UNIT HEATERS <br /> —Y__ KITCHEN SINK 6 OISPOSAL _`_ CLOTHES DRYER <br /> DISHWA9HER _ RANGE HOOD <br /> _� LAUNDRY TRAY I WATER HEATER <br /> ___ CL07HE3 WASHER METAL FIREPLACE/STOVE <br /> _ URINAI. RIREPLACE IN9ERT <br /> __ ORINKING FOUNTAIN OA8 FIREPLACE <br /> _ FLOOR DRAIN GA9 RAN6E <br /> _�__ BACKFLOW PREVENTER 6A3 PIPIN6 <br /> �_ SINK (9ERVICF.18AR/MOP/ETC,) ~ EXHAU37 FAN .. <br /> ___ OTHER _ _M OTHER_��_____� <br /> 1 HEREBY CERTIFY THAT 1 MAVE READ AND EXAMINED THIS APLICAT70N AND KNOW THE�SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF�AWS AND ORDIMANCES GOVERNING THIS TVPE OF WORN WILL BE COMPLIED WIHT WHETHER SPECIFIED MEREI <br /> OR NOT.TH6 ORANTING OF A PERMIT DOES NOT PRESUME TO aNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISpN OF ANY <br /> OTHER SiATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THATIAMAUTMORRED <br /> BY THE OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WMICH APPLICATON IS MNDE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 288.200 WAC. <br /> Slpnaluro of Ownar/Contraetor/Aulhorized Aponl �,,���f�,��p D�t� OS/19/2010 <br /> u�.m <br />