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From: 03/01l2010 12:40 p970 P. 002/�02 <br /> � <br /> PERMIT APPLICATION "81026 <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX 3 /'� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4G23 GLENNOOD AVE,EVEItETT,\VA 98203 00505700005007 <br /> �l OU3- ���r <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> LLLIOTT,ONL'AL LD:1-1148054G32 <br /> (425)299-]313 <br /> TENANT NAME CONTACT NAME PHONE <br /> 30 AMP/PRICE SGNSITIVG Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICEMSE# <br /> FASTWATER:iLATGRCOMPANY 12601132NDAVENG FASTIVNH948�C <br /> 425-636-7054 uRKLAND, 1VA 98034 O1/O4/2012 <br /> PROP05ED USE OF BUILDING swminp M�chanlca Additlon H AT SOURCE <br /> PERMIT Combin�tion Plumbinp W�RK Nlaratlon Elnclric <br /> Residential TypE D.mou�ton Styn TYPE Naw <br /> as <br /> — � R� eirlMelnt ther <br /> CONTRqCT PRICE OF WORK S349.00 CITY OF EVERETf LOCAL SALES 7AX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Elcctric\Vatcr Hcater <br /> PLUMB,fKG � MECHANICAL <br /> NO. OF FIXTURE OR ITE O P OF F XTUR R I EM <br /> ___ WATER CLOSET q1C•A/HANDLING UNITS <br /> —^_ BATHTUB � FORCED AIR SYSTEMS <br /> _—_ LAVATORY (WASH BASIN) —+— <br /> SHOWER _ HEAT PUMP <br /> —____ KITCHEN StNK d OISPOSAL UNIT HEATERS <br /> _ DISHWASHER --_ CLOTHES DRYER <br /> _.�_ LAUNDRY TRAY _ RANGE HOOD <br /> !� WATER HEATER <br /> ___ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR ORAIN GAS RANGE <br /> —�__ BACKFLOW PREVENTER GAS PIPIN(3 <br /> �_ SINK (SERVICE/BAR/MOP/ETC.) EXHAUST f/W <br /> ___ OTHER _ OTHER_ _____^___ <br /> 1 HEREBY CERTIFY Tf WT I HAVE READ AND EXAMINCD THIS APLICATION AND KNOW THE SAME TO BE TRUE AN�CORREC7,ALL <br /> PROVISIONS OF LAWS AND ORDINnNCES GOVERNING TNIS TYpE OF WORK WILL 8E COMPLIED WIHT WHETHER SPECIFIEO HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT i AM AUTHORI2E0 <br /> BY TFiE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE qN0 1 COMPLY WITH THE STATB <br /> CONTRqCTpRS LAW 18,27 RCW AND 298.200 WAC. <br /> Signature of Owner/ContractorlAuthartzed Agant ���./���,�¢� Oate <br /> / 03/01/2010 <br /> R11.M1 <br />