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fron: 01/29/2008 18:55 A567 P.003/004 <br /> PERMIT APPLICATION 3°z,28 <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 p <br /> � „ � �; 425-257-8857 FAX �. 30 —d[� <br /> SITE ADDRESS ci,pl2X— Cl��� PARCEL TAX I.D.# PERMITi� <br /> 1,922COL[3YAVE,EVERL•TT,WA 98201 00437037802200 f'�;I L,,��� I - ��� � <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> ROMAIN,n9iKE 9027 6 AVE NW (206)21d-7414 <br /> • SCATTLL,MA 98117 <br /> TENANTNAME CONTACTNAME PHONE <br /> CJ.CJeSSICA Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FASTWAT�RSiEATGKCOMPANY 12601132NDAV8NE FASTWWH948llC <br /> B00-454-8955 Kuu`LAND,WA 98034 01/04/2010 <br /> PROPOSED USE OF BUILDING ewm�np M�ehsmea WORK AddiUon H AT SOURCE <br /> PERMIT Combination Plumbinp Alteratlon Elactrtc <br /> IYPE D�molllion Slpn TYPE Naw as <br /> R� tlrlMalnl er <br /> CONTRACT PRICE OF WORK �3qy.p0 CIN OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTIDN Rcmovc/Rcplacc L'lec�ric WaterHcatcr <br /> PLUMBING �CHANICAL <br /> NP. PE OF I URE I E TYPE Of IXTU OR ITE <br /> ___ WATER CLOSET _�___ NGAIHANDLING UNITS <br /> __� BA7HTUB _�__ FORCED AIR SYSTEMS <br /> ___ LAVATORY (WASH DASIN) _ HEAT PUMP <br /> _ SIIOWER �� UNIT HEATERS <br /> _ KITCHEN SINK B Ui5PO3AL ___ CLOTMES DRYER <br /> _ pISHWA3HER _ RANGE HOOD <br /> LAUNORY TRAY 1 WA7ER HEATER <br /> CLOTHES WASHER _� METAL FIREPLACFJSTOVE <br /> URINAL _r_ FlREPLACE INSERT <br /> DRINKING FOUNTAIN OAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> ___ BACKFLOW PREVENTER ___.__ GAS PIPING <br /> w SINIC (SERVICE/BAR/MOPlETC,) ,� EXHAU3T FAN <br /> � OTHER �^ OTHER_________—_—�_� <br /> 1 HEREBYCER77FY THAT i HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WIHT WMETNER SPECIFIED HEREI <br /> OR NOT.TME GRANTIh'G OF A PER!.11T DOES NOT PRESUME TO OIVEAUTHORI7Y TO VIOJ�TE OR C.ANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMAYC@ OF CONSTRUCTION.THAT I AM nUTHORIZEO <br /> 8Y TNE OWNER OF THIS PROPERiY TO P[RFORM THE WORK FOR WFiICH APPLICAiION IS MAOE AND I COMPIY WITH THE STATE <br /> C04TRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> Sipnature of OwnarlContrectoHAulhorixed Apent �a,�oy�7��,.��p Dete OtRSR008 <br /> --- � / <br /> u�.v <br />