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SITE <br />P �RMIT APPLICATI�.N <br />CITY OF EVERF_TT PERMIT SERVICES <br />._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />4RCEL TAX I.D.# <br />59�0 [3GVERLY LN, EVGRETT, WA 9R203 2804U100101200 <br />LEGAL LOT NO. BLOCK <br />DE <br />OWNER ADDRESS <br />SIIAR�, DON & KARGN 5910 DBVBRI � LN <br />TENANT <br />fT, N A IR203 <br />ONT�:CT NAI <br />PAMELl FIILL <br />CONTRACTOR ADDRESS <br />FAST \VATGR IIGATF.R COMPANY 12(,01 I'2ND AVI: Nf: <br />(425)SI-0-3124 <br />KIRKLAND, NA 98034 <br />PROPOSED USE OF BUILDI�:u^ eulminp <br />PERMI7 Combinatlon <br />TYPE Damolilfon <br />C rl 41 <br />CON7RACT PRICE OF WORK 5449.00 � <br />WORK DESCRIPTION <br />Rcmovc/Rcplacc Gas Wa�cr Hca�cr <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISPOSAL <br />CISHWASHER <br />LAUNDRY TRAY <br />CLUTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER_,_ <br />PIum6lnp n'vKi <br />Sian TYPE <br />CF <br />� <br />� <br />CK 1333 <br />rnoyo7-a�3 <br />PHONE <br />(425)348-3972 <br />425 814-3124 x133 <br />CONTR.I_ICENSE# <br />PAST W HC052Ur <br />02/I(/2005 <br />+.�a�avn I H� SOURCE <br />Alt�ratlon EI�cIAe <br />N�w ac <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEA7ER <br />METAL FIREPLACE/STOVE <br />FIRF:PLACE INSERT <br />GA!i FIREPLACE <br />G�S RANGE <br />Ci.4S PIP;NG <br />EXHAUST FAN <br />OTH ER______��______^ <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICA710N AND KNOW THE SAME TO BE TRUF. ANO CORRECT. ALL <br />'ROVI;�ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE 1F WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED HERE <br />)R !iOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISION OF ANY <br />�THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THATI AMAUTHORIZED <br />�Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICA170N IS MADE AND I COMPLY WITH TME SiATE <br />'�ON7RACTORS LAW 18.27 RCW AND 296.200 WAC. <br />of OwnedCc�';ractor/Authorized Ageni �-/ ��1�� Data � <br />�— � 0./14/2004 <br />u� mi <br />