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; -�-� P�.RMIT APPLICATi� N <br />�Mj?�CITY OF EVERETT PE.Rl�i f SERVICES <br />.._, 3200 CEDAR STREET, EVERETT, WA 982C�1, 425-257-8810 <br />chazsa <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />51 I R S 2 AV6, GVERG'IT, WA 98203 00500301500300 �p���- G39 <br />LEGAL L�T NO. BLOCK ITRACT <br />DE <br />OWNER ADDRESS PHONE <br />I:Vf_RGT7' GOSPL'L MISSION 51 I8 S 2ND ST <br />• HVERGTT, WA 98203 (a25)252-1297 <br />TENANTNAME CONTACTNAME PHONf <br />MAILING/BILI.ING ADDRL'SS ppMGLA HILL 425 814-3124 x133 <br />CONTRACTOR A[1DRESS CONTR.LICENSEi� <br />I'AS"I' WATER HEATCR COMPANY 12601 132ND AVE NC �ASTWHC052DP <br />4� 814-3124 KIRKLAND, WA 98034 02/IG/2007 <br />( _5) <br />PROPOSED USE OF BUILDING swidtno M•eti.mea Additlon H AT SOURCE <br />PERMIT Comhin�tlon Plumbing WORK Nl�ntlon ENctrie <br />TYPE D�molilion Slpn TYPE New as <br />r R� drlMalnt har <br />CONTRACT PRICE OF WORK $q49.00 CITY OF EVERETT LOCAL SAIES TAX CODEIS 3105 <br />WORK DESCRIPTION Rcmovc/Repince Gas Watcr Ilcater <br />UM01 MECHANICAL <br />NO. TYPE OF FIX7URE OR ITEM NO. TY E OF FIXTUR R ITEM <br />___ WATER CLOSET ______ AIC•AINANDLING UNITS <br />____ BATHTUB _____ FORCED AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) _____ HEAT PUMP <br />___ SHOWER ___ UNIT MEATERS <br />___ KI7CHEN SINK 3 DISPOSAL _,__ CLOTHES DRYER <br />__ DISHWASHER __ _ RANGE HOOD <br />___ LAUNDRY TRAY __�__ WATER HEATER <br />__ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br />_� URINAL ____ FIREPLACE INSERT <br />� DRINKING FOUNTAIN _ GAS FIREPLACE <br />__ FLOOR DRAIN _`_ GAS RANGE <br />___ BACKFLOW PREVENTER _� GAS PIPING <br />_� SINK (SERVICEIBARIMOP/ETC.) ___ EXHAUST FAN <br />� OTHER_ _�_ OTHER____�_____�_______— <br />I NEREBY CERT�FY THAT I HAVE READ AND EXAMINEO THIS APLICATION AN� KNOW T4E SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LhWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT vVHETHER SPECIFIED HEREI <br />OR NOT. THE GRANl!NG OF A PERMIT DOES NOT PRESUME TO CIVE AUTHORITY TO VIOLATE 6R CANCEL TI1E PROVISION OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS 1'ROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TME SiATE <br />CONTRACTORS LAW 70.27 RCW AND 296.200 WAC. <br />Signatura of OwnedContraetodAuthorized Ageni �r,_ �,�. ���'�_ �. Date 04/27/2005 <br />u� mi <br />