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From: <br />10/PF/2006 07:27 4461 P.032/002 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />102506 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />9504 19 AVE SE, EVERETT, WA 98208 <br />28051800403800 <br />I r ( D <br />1 lX <br />LEGAL <br />DESQ, <br />LOT NO. <br />BLOCK (TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />BUZZ INN STEAK HOUSE <br />9504 19 AVE SE <br />1. <br />(425)338.2033 <br />EVERETT, WA 98208 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PAMELA HILL <br />425 814-3124 xl33 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSEN <br />PAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />FASTW W11948BC <br />KIRKLAND, WA 98034 <br />01/03/2008 <br />PHONE (425)814-3124 <br />PROPOSED USE OF BUILDING <br />Bulldinp Mechanics <br />WORK <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Combination Plumbing <br />Alteration <br />lectric <br />TYPE <br />Demolition Slgn <br />TYPE <br />New <br />IRa <br />as <br />So <br />alr/Meln1 <br />her <br />CONTRACT PRICE OF WORK 60 n�� <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Remove/ReplaceGas Water Heater /y4�pp��,,�ji<;y � <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />NO PE OF FIXTURE R ITEM <br />------- <br />WATER CLOSET <br />------ <br />A/C-A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />____ <br />LAVATORY (WASH BASIN) <br />—__—_ <br />HEAT PUMP <br />SHOWER <br />--_ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />____ <br />LAUNDRY TRAY <br />—1 <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACEISTOVE <br />URINAL <br />_--_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />—__ <br />GAS FIREPLACE <br />_—_ <br />FLOOR DRAIN <br />_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />--_ <br />GAS PIPING <br />_— <br />SINK (SERVICE/BAR/MOP/ETC.) <br />--_ <br />EXHAUST FAN <br />----- <br />OTHER— --- <br />---- <br />OTHER ------------------ <br />I HEREBY 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 AUTHOR!TY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMIkNCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent ��� -�� �yrl Dale 10/25i2006 <br />ui ua, <br />