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From: � 10/1°�2009 13:08 p322 P.002/002 <br /> PERMIT APPLICATION °62"3 <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRE33 PARCEL TAX I.D.# PERMIT# <br /> 5811 GLENWOOD AVB,EVERETT,WA 98203 00436800000901 �r-�/�� ,v��• <br /> I ' '��`1 C�L�o <br /> LEGAL LOT NO. B�OCK TRACT <br /> OWNER ADDRESS PHONE <br /> YAN,ANGEL PO BOX 13091 (425)385-2895 <br /> • MiLL CREEK,WA 98082 <br /> TENANT NAME CONTACT NAME PHONE <br /> PM'f 2 BILLNG!!SVETLANAkMAX Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRES$ ' CONTR.UCENSE# <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTW WH948BC <br /> 425-636-7054 �KLAND,WA 98034 Ol/04/2010 <br /> PROP05ED USE OF BUILDING euudino �nan�u WORK �d��b" H T SouRCE <br /> PERMIT Combinallon Plumbiny Nlentlon Netrlc <br /> Residential �rypE D•moltuan giy� TYPE N„,,, �� <br /> R� drM!Unl her <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 37D5 <br /> WORK DESCRIPTION Rcmove/Replece Electric Water Hcatcr <br /> PLUM8ING MECHANICAL <br /> N . OF U I E O XTU R ITE <br /> ___ WATER �L03ET AIC-A/FiANDLIN6 UNITS <br /> ___ BATHTUB _� FORCED AIR SYSTEMS <br /> __, LAVATORY(WASH BASIN) _ HEAT PUMP � <br /> SHOWER UNIT HEATERS <br /> __�_ KITCHEN SINK 6 DISPOSAL _`_ CLOTHFS DRYER <br /> _ DISNWA9HER RANGE MOOD <br /> _� I.AUNDRY TRAV � _ WATER HEATER <br /> _ CIOTHE3 WASHER __ METAL F�REPLACE/STOVE <br /> URINAL ___ FIREPLACE INSERT <br /> _ DRINKING FOUNTAlN _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RAN(iE <br /> ,_ BACKFLOW PRHVENTER __ (�g p�p�p <br /> __ SINK (SERVICFJBARfMOPlETC.) _� EXHAU8T FAN <br /> _ OTHER _ OTHER_ _ <br /> I HEREBY CERTIFY TrWT I HAVE REAO AND E%AMINEO THIS APLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIEO WINT WHETHER SPECIFIEO HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TMAT 1 AM AUTHORIZED <br /> BY T}1E OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WM�CH APPIICATION IS MADE AND 1 COMPLY WRH THE STATE <br /> CONTRACTORS LAW 19.27 RCW AND 298200 WAC. <br /> Sipnature of OwnarlCantrnetor/Authoriced Apent �9i_ao,y���,��P Dab 10/19/2009 <br /> --- � r <br /> UI_yl <br />