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From: <br />07/0�12011 09:20 R611 P.002/002 <br />'t <br />,�-. PERMIT APPLICATION <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 />6521 tiVLRGRiiTN WAY, EVERETT, WA 98203 00392900500200 <br />LEGAL LOT NO. BIOCK <br />DE <br />OWNER ADDRESS <br />6521 liVL'RGRL'L'N WAY <br />DAIRYQUBEN • L•VLRL•"CP,WA 95203 <br />7GNnNT PIAMF CONTACT NAME <br />CONTRACTOR IADDRESS <br />FAS'I' WA'CL"R IILA'fER COMI'ANY 12601 132ND AVB NG <br />KIRKLAND, NA 98034 <br />425-636-70 <br />547420 <br />PERMIT# <br />I147 - Do� <br />PHONE <br />(A25)290-724G <br />PHONE <br />25-636-70�-� <br />CONTR.LICENSE# <br />PASTW WI1S4813C <br />01/04/2012 <br />PROPOSED USE OF BUILD{NG � nunuing mnc���a�9n WORK `��������� "` <br />PERMIT Com6lnation PIum61n AlloraUon <br />C�����C'�1 TYPE Dumolilfon Slgn :�PE ONaw <br />� S �Ink r Ro alnMaln! <br />CON7RACT PRICE OF WORK "� , — CITY OF EVERETT LOCAL SALES 7AX � <br />WORK DESCRIPTIDN Rcmovc/Rcpluce Gas Watcr Ileeter (�����'1 �.1`��IGS`� W� l'� <br />WATER CLOSET <br />6ATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & �ISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINi(ING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW pREVENTER <br />SINK (SERVICEIBAI'UMOPIETC.) <br />OTH E R__�_ <br />� <br />� <br />A/C•AIHANDLING UNITS <br />FORC[D AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEAiERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER NEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SOURCE <br />31 <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />'ROVISIONS OF LAWS AND ORC�INANCES GOVERNING TtiIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIEO HERE <br />)R NOT. THE GRANTING OF n PERRIIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL/�TE OR CANC[L THE PROVISION OF ANY <br />)THER STATE OR L6CAL LAW REGULATING CONSTRUCTIOM pR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />iY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION !S MAOE AND I COMPIY WITH TNE STATE <br />'c�uTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br />of OwnerlContractor/Authorizod Agnnt 1 I) � <br />i1"vil <br />Data 07/01/20I] <br />u� o�i <br />