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rram: . <br /> � <br /> PERMIT APPLICATION 553902 <br /> �1��� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-6810 <br /> 425-257-8857 FAX �.j�`� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5729 GLENWOOD AVE NA,EVERETT, WA 98203 00436800001001 � � � � <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> BERN6R,JACK 5112 SOUND AVE (206)579-0453 <br /> • GVERETT,WA 98203 <br /> TENANTNAME CONTACTNAME PHONE <br /> , ulie�'as az5�asao�} <br /> CONTRACTOR ADDRESS CONTR.LICENSEl� <br /> FAS'f WATERHEATERI:OMPANY 12601 I32NDAVENE FASTWWH948BC <br /> 425$36-7Qaj KIRKLAND, WA 98034 01/04/2012 <br /> PROPOSED USE OF BUILDING euueioo M�ehmiaa AddlUon H T SouRCE <br /> PERMIT Combindlon plumbinp WORK /�{�ratlon Nct�ic <br /> Residential 7YpE D.maiuon sipn TYPE N�w as <br /> R� drMlalnl ar <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Electric WaterHcater <br /> PLUMBING MECHANICAL <br /> OF FIXTU 1 N OF XTUR R ITE <br /> __ WATER CLOSET _____ A/C-A/HANDLIN6 UNITS <br /> ___ BATHTUB _ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> _` SHOWER __ UNIT HEATERS <br /> ____ KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> ___ DISHWASHER _ RANGE HOOD <br /> �__ LAUNDRY TRAY _�_ WATER HEATER <br /> __ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> __ URINAL _ FIREPLACE INSERT <br /> ____ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _ BACKFLOW PREVE4TER ___ 6A5 PIPIN6 <br /> _ SINK 1SERVICEIBARIMOPIETC.) ___ IXHAUST FAN <br /> _ OTHER ___ OTHER_�____ _, <br /> I HEREBY CERTIFY THAT I MAVE 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 WILI BE COMPLIED WIHT WHETHER SPECIFIED MEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISpIJ OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTMOR¢EO <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 298,200 WAC. <br /> Signatura o( Ownar/Contnctor/Authorizad Aeanl D�ts 0 8/3 020 1 1 <br /> tfl_MI <br />