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1=rom: 12/1^i2007 14:23 N367 P. 002/003 <br /> PERMIT APPLICATION 387755 <br /> ��y�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX Z_/7 .Q� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 10307 DAKOTA \VAY,CVCRL�TT,\VA 98204 00552300100800 <br /> (��,� O �� <br /> LEGAL LOY NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> LUDSTROM.SHARON&DAVID 10307 DAKOTA WAY (425)355•7217 <br /> • GVGItETf,WA 9A204 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASTWATBRHEATERCOMPANY 12601132NDAVENE PASTWNfi948BC <br /> 800-454-8955 KIRKLAND,WA 98034 01/03/2008 <br /> PROPOSED USE OF BUILDING eullalnp M�ehanlea nda�uon HEAT SOURCE <br /> PERMIT Combinatlon PIum6lnp W�� Altentlon El�clric <br /> TYPE amdluon S�pn TYPE rNw ac <br /> Rs HrlMalnt lhrtr <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TA7(CODEIS ]105 <br /> WORK DESCRIPTION Rcmove/Replece Electric Weter Hcater <br /> PLUMBING MECHANICAL <br /> P OF FIXTU E OR E OF IXTUR R ITE <br /> __ WATER CLOSET AIC-A/HANDLING UNITS <br /> � BATHTUB �� FORCED AIR 8YSTEMS <br /> � LAVATORY (WASH BASIN) HEAT PUMP <br /> _ SH�WER UNR HEATERS <br /> _ KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br /> � DISHWASHER RANGE HOOD <br /> LAUNDRY TRnY 1 _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> 11RINAL FIREPLACE INSERT <br /> DRINKING FOUNTAIN pA3 FIREPLACE <br /> FIOOR DRAIN GAS FtAN6E <br /> BACKPLOW PREVENTER GAS PIPIN6 <br /> V SINK (SERVICE/BAR/MOP/ETC.) EJCHAUST FAN <br /> OTHER OTNER <br /> I HEREBY CERTIFY TFiAT I NAVE READ AND E%AM�NEO THISAPLIGITION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WNETHER SPEGFIED HEREII <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUC�tION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STA7E <br /> CONTRACTORS LAW 18.27 RCW AND 290200 WAC. <br /> Signature of OwnerlCantrectorlAulhorizad Agont �„�a,Q✓��,�,,,,,,(�dp Date �Z��qn007 <br /> �_..�_� . / <br /> R!1 Mll <br />