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Fron <br />02/20/2009 12:28 9414 P.002/002 <br />PERMIT APPLICATION 434260 <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 />4724 GLENHAVEN DR, EVERETT, WA 98203 <br />00456700000200 <br />LEGAL) LOT NO. <br />BLOCK <br />TRACT <br />DESLC. I <br />OWNER <br />ADDRESS <br />PHONE <br />HA'1'FIELD, ED\YARD <br />1. 4724 GLENIIAVEN DR <br />12� �. <br />5 58-47_ i <br />( )` <br />EVERETT, WA 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />Carol Randall <br />425-636-7054 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />17AS I WATER IIEATER COMPANY <br />12101 132ND AVS NE <br />FASTWW1194SBC <br />EHONE 425-636-7054 <br />KIRKLAND, R'A 95034 <br />01/04/2010 <br />PROPOSED USE OF BUILDING <br />PERMIT <br />Building MechanIca <br />WORK <br />Addition <br />HEAT SOURCE <br />Comhinetion Plumbing <br />ARarpdon <br />Electric <br />TYPE <br />Demolition Sign <br />TYPE <br />New <br />as <br />Re alr/Mainl <br />that <br />CONTRA:T PRICE OF WORK 5449.00 <br />CITY OF EVERETT LOCAL SALES TAX CODE5 3105 <br />WORK DESCRIPTION -- <br />Rcmocc/Repl;;cc Gas Water Hcalcr <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />_ ----- <br />A/C-A/HANDLING UNITS <br />BATHTUB <br />_______ <br />FORCED AIR SYSTEMS <br />______ <br />LAVATORY (WASiI BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_----- <br />KITCHEN SINK & O.OPOSAL <br />______ <br />CLOTHES DRYER <br />DISHWASHER <br />__ __ <br />RANGE HOOD <br />—----- <br />LAUNDRY TRAY <br />I_ <br />WATER HEATER <br />CLOTHES WASHER <br />._ <br />METAL FIREPLACEISTOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <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 />PROVISIONS OF 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 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 LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent wY!<d„w�rE'a Date 02/26/2009 <br />u,_ov <br />