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Fram: D7/08�2011 12: 15 �711 P.002I002 <br /> ' 547869 <br /> ,-�� PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 96201, 425-257-8810 <br /> 425•257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 7U2 W CAtiINO RD,L:VGRL"•Ti,WA 96204 28U413002U0200 _On� <br /> .t <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> CR�'S7'AI,tiPRINGS APAR'fMGN'I'S ��'4 N }5 ST <br /> • NIiNTON, WA 9805G (425)512-4466 <br /> TENANT NAME CONTACT NAME � PHONE <br /> ' ul�e �'c.�SK�,t� 425-636-70$y <br /> CONTRACTOR ADDRESS �— CONTR.LICENSE# <br /> fAS"1'WA'(GR III�.A'1'Elt COMI'ANY 12G01 13'Nl) AVIi Nli FAS'I'WWI194NI3C <br /> KIRKLAND. WA 98034 01/04/2012 <br /> PHONE 425-63fi-70�y <br /> PROPOSED USE OF BUILDING Bulldinp M�ch�ni�ea WORK Addillon N T SOURCE <br /> PERMIT Combineflon Plumbin • Nl�ratlon I�alrtc <br /> Residenlial 7ypE D�molilion 81pn TYPE N�w �s <br /> R� elrlMainl Iher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODEIS 7105 <br /> WORK DESCRIPTION �icmuvclRepl�mc C,us W��tcr Ilcn�cr <br /> I V� � G11.t1����� ('CC';A� <br /> PLUM@ING MECNANICAI <br /> NO. TY E OF TU O I EM OF I TU R ITEM <br /> ______ WATER CLOSET _______ A/C•A/HANDLIN6 UNITS <br /> ___ BATHTUB _______ FORCEO AIR SYSTEMS <br /> ____ LAVATORY (WASH DASIN) ______ HEAT PUMP <br /> __� 5HOWER ____ UNIT HEATERS <br /> _,__ KITCHEN SINK 6 OISPOSAL ______ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RANGE HOOD <br /> ___ LAUNORY TRAY ____�__ WATER HEATER <br /> �_ CLOTHES WASHER _�__ METAL FIREPLACE/STOVE <br /> �_ URINAL _____ FIREPIACE INSERT <br /> � DRINKING FOUNTAIN _�_ OAS FIREPLACE <br /> , FLOOR ORAIN ____ GAS RAN6E <br /> ____ BACKFLOW PREVENTER __ 6AS PIPINO <br /> ___ SINK (SERVICEIBARlMOP/ETC.) __.___ EXHAU57 FAN <br /> ----- OTHER�-------------- ------ 07HER-----------^----------- <br /> I MERE�V C[RTIFY TFNT I HAVF READ AND EXAMINED THIS APLICATION ANO KNOW T11G SAME TO UE TRUE AND CORRECT.ALL <br /> PHOVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIE�WIHi WM[THER SPECIFIGO HEREI <br /> OR NOT. iME (iRANTINCi OF A PERMIT DOES NOi PRESUME TO GIVE AUTNORITV TO VIOLAT[OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL I1�W REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED <br /> 8Y TME UWNER OF THIS PROPERTY TO PERf'ORM THE WORK FOR WHICH APPLICATION IS MAOE AN�I COMP�V WITN TME STATE <br /> CON1R/1GTORS I.AW iH.27 NCW ANU 296.?00 WAC. <br /> Sipneture o( OwnorlContractorlAuthorizad Aponl ,�� �1 � � Date ������201� <br /> � ui�ni <br />