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From: 11��3/2009 15:24 �498 P.002/002 <br /> � ' <br /> PERMIT APPLICATION 464954 <br /> ��i:,� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-?.57-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> GG07 COMMERICAL AVE,HVERET"1',WA 98203 00544700G00500 M r^ I I _ � <br /> I " �V"1 <br /> LEGAL LOT NO. BL�CK TRACT <br /> OWNER ADDRE83 PHONE <br /> ROSE,BiLL&TERRY G607 COMMERICAL AVE (q25)353-3488 <br /> � BVERETT.WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> LEAKTTvG WATER VLV/fAST ISNTLD Carol Randall 42�-636-7054 <br /> CONTRACTOR ADDRESS • CONTR.LICENSE# <br /> FAST WATER IIEATER COMPANY 12601 132ND AV�NE PASTW WH9A8BC <br /> IC7RKLAND,WA 98034 O1/04/2010 <br /> 425-636-7054 <br /> PROPOSED USE OF BUILDING eulrotnp M�oh�nlcs WORK �d�t1O" H T SOURCE <br /> � PERMIT ComblruGon Plumblrp All�ratlon El�otrle <br /> Residential ZypE D�molllwn g�y� 7YPE N�w �� <br /> R� rfMalnt r <br /> . CONTRACT PRICE OF WORK 5349.00 CITY OR EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION RemoveJReplaceElcctric WatcrHeater <br /> �UMBING MECHANICAL <br /> OF I TU I M OF 7(TU R R <br /> ___ WATER CLOSET _��_ A/C•AIHANOLIN6 UNITS <br /> ___ BATNTUB __ FORCED AIR SYSTEMS • <br /> ___ LAVATORY (WASH BASIN) HEAT PUMP ' <br /> SHOWER _� UNIT HEATERS <br /> ___ KITCHEN SINK d DISPOSAL CLOTHES DRYER <br /> __ DISHWASHER RANGE HOOD <br /> ___ LAUNORY TRAY I WATER HEATER <br /> _ CLOTHES WASHER METAL FIREPI.ACE/STOVE <br /> ___ URINAL F�REPIACE INSERT <br /> DRINKING FOUNTAIN _ OAS FlREPLACE <br /> FLOOR ORAIN GAS RANGE <br /> _�_ BACKF40W PREVENTER __ GAS PIPIN6 <br /> , SINK (SER�/ICEIBAR/MOPIETC.) ______ El(HAUST FAN <br /> _ DTHER OTHER___ � <br /> I 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 WIIL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIDN OF ANY <br /> OTHER S7ATE OR LOCAL LHW REOULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTfDN.THP,TIAMAUTHORIZED <br /> BY THE OWNER OF THIS Pi`�OPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STqTE <br /> CONTRACTORS LAW 1827 RCW AND 296.20D WAC. <br /> Sipnature of OwnerlContracturlAuthorized Agent �I,�s•��,���� Dat� i]/032009 <br /> u�om <br />