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From: <br />09/18/2008 13:43 A455 P.003/003 <br />PERMIT APPLICATION 407380 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />8014 B BEVERLY BLVD, EVERETT, WA 98203 <br />00393900502702 <br />LEGAL <br />DESC <br />LOT NO. <br />BLOCK <br />TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />HOPSON, SCOTT <br />8014 B BEVERLY BLVD 1.EVERETT, <br />(206)940-t997 <br />WA 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />BACKUP <br />Carol Randall <br />800-454-8955 x 133 <br />CONTRACTOR <br />ADDRESSW <br />CONTR.LICENSE# <br />FASTWATER HEATER COMPANY <br />126UI 132NID AVE NEFASTWWH948BC <br />800-454-8955 <br />KIRKL +ND, WA 9803401/04/2010 <br />PROPOSED USE OF BUILDING <br />Bulldtnp Mseh <br />H AT SOURCE <br />PERMIT <br />Combinallon Plumn <br />Elaelne <br />TYPE <br />Demollllon Sign <br />IHSprinklealnI <br />as <br />the' <br />CONTRACT PRICE OF WORK $449.00 <br />ICITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Retnove/Replace Gas Water Heater <br />PLUMBING <br />MECHANICAL <br />rvpr OF FIXTURE OR ITEM <br />NO TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />__•___ <br />A/C-NHANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />--_ <br />HEAT PUMP <br />__--_ <br />SHOWER <br />—__ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />--__ <br />CLOTHES WASHER <br />_ _ <br />METAL FIREPLACEISTOVE <br />—__ <br />URINAL <br />FIREPLACE INSERT <br />--__ <br />DRINKING FOUNTAIN <br />—__ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />—__ <br />GAS RANGE <br />GAS PIPING <br />_ <br />--__ <br />—_—__ <br />SINK (SERVICF-IBAR/MOP/ETC.) <br />EXHAUST FAN <br />---- <br />OTHER--- ----._ <br />—^ <br />OTHER-- ----------- <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I.AW 18.27 RCW AND 296.20D WAC. <br />Signature of Owner/Contractor/Authorized Agont C'v wYA�l��te'P Date 09/18/2008 <br />wl V l <br />