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Fron <br />oaiaoizooe �s: oa nosi P. ooaiooa <br />PFRMIT APPL.ICATION <br />CITY f)F EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVERETT� WA 98201 � 425-257-8810 <br />� 425-257-8857 FAX <br />SITE <br />7810 L3HVf:RLY LANE3, tiVGW:7'T, WA 98203 <br />OWNER <br />HUNTER, YAT7'Y & OLIVL'R <br />TENANT <br />CONTRACTOR <br />PAST WATER HEATER COMPANY <br />I.D.# <br />00598700002401 <br />ADDRESS <br />781013EVERLY LANf; <br />• GV�R[1"C, WA 98203 <br />CONTACT NAME <br />Carol Randall <br />ADDRESS � <br />1260I I32ND AVE NG <br />B00-454-8955 KIItKLAND, �VA 98034 <br />PRO�OSED USE OF BUILDING euuai�o M�chanle� <br />PERMIT Com6lnatlon Plumbinp WORK <br />TYPE D•mollllon &Ipn NPE <br />CONTRACT PRICE OF WORK �449.00 CITY OF EVERET <br />WORKDESCRIP710N Kemove/I:eplaceGnsWatcrHeater <br />� <br />WATER CLOSET <br />BATH7U9 <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTHER_`___ __ <br />� <br />� <br />� <br />400998 <br />j—b/ —O� <br />RMIT# <br />' j � .� <br />PHONE <br />(425)356-7171 <br />PHONE <br />800�54-8955 x 133 <br />CONTR.LICENSE# <br />�ASTW Wll9480C <br />01/04/2010 <br />SALES TA7( CODEIS J105 <br />FORCED AIR SYSTEMS <br />HEAT PUMP , <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEA7ER <br />METAL FIREPLACE/S70VE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RAN6E <br />OAS PIPINO <br />EXHAUST FAN <br />OTHER______ <br />I HEREBY C[RTIFY THAT i HAVF READ AND EXl�MINED THIS APLICATI04 AND KNOW 1'HG SAME TO BE TRUE AND CORRECT, ALL <br />PHOVISIONS OF lAWS AND OR�INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HERE <br />OR NOT. TME GRl�NTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOLl1TE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE 017 LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THA71 AM AUTHORIZEO <br />BY THE OWNER Of THIS PROPERTY TO PERFORM THE WORK FOR YVHICH APPLICATION IS MADE AND I COMPLY WITIi THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 29tl.200 WAC. <br />Slgnoturo of Owner/Cantractor/Authorized Agant <br />�,,,,,�Q� Date 04/30/2008 <br />u� on� <br />