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,-�-� R�RMIT APPLICATK�N <br /> ���'�'.��� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> cKzz�s <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT� <br /> 10315 DAhOTA WAY�tE3, EVERETT,WA 98204 00552300100R04 <br /> � c� 5`�- o�C� <br /> LEGAL LOT NO. BLOCK TRACT <br /> D , <br /> OWNER ADDRESS PHONE <br /> IiOI.MSTROM, SUG �0315 DAKOTA WAY NB �5 348-5896 <br /> • GVERETT, WA 98204 �4- � <br /> TENANT NAME CONTACT NAME PHONE <br /> PA�7GLA Ii1LL 425 814-312d x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEN <br /> FAST WATBR IIGATER COMPANY 12601 132ND AVE NG FASTWIiC052DF <br /> (425)814-3124 h�RKLAVD, WA 98034 02/16/?007 <br /> PROPOSED USE OF BUILDING eu�m��o M.cn.nica WORK �di�1O" N AT SOURCE <br /> PERMIT Comblmtlon Vlumbinp Nbntlon I�[tdc <br /> TrPe D�molilion a,,,� rrPe r�.w ,. <br /> r R� dMalnt ar <br /> CONTRACT PRICE OF WORK S349.00 CITY OF EVEREIT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmove/Replace Clectric Watcr Hcatcr <br /> �UMBING MECHANICAL <br /> NO. TYPE OF FI TUR ITEM p OF IXTUR R ITEM <br /> __ WATER CLOSET ��__ A1C-AIHANDLING UNITS <br /> �_ BATHTUB ___ FORCED AIR SYSTEMS <br /> _�_ LAVA70RY (WASH BASIN) _ HEAT PUMP <br /> Y SHOWER ___ UNIT HEATERS <br /> ___ KITCNEN SINK 3 DISPOSAL _ CLOTHES DRYER <br /> __ DISHWASHER _ RANGE HOOD <br /> _� LAUNDRY TRAY _�_ WATER HEATER <br /> �_ CLOTHES WASHER __ METAL FIREPLACElSTOVE <br /> _ URINAL _�_ FIREPIACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> �_ BACKFLOW PREVEHTER __ GAS PIPING <br /> � SINK (SERVICEIBAR/MOPlETC.) ___ EXHAUST FAN <br /> � OTHER ___ OTMER_�__��______ <br /> i HEREBY CERTIFY THqT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7.ALL <br /> PRUVI510NS OF LAWS ANC ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPEClFIED HEREI <br /> GR NOT.THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GNE AUTHORITY TO VIO�J�TE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LA�N REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT IAM AUTHORIZED <br /> Bv THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS LAW iB 27 RCW AND 296.200 WAC. <br /> Sig�alureo/OwnedContractor/AuthorfzedAgeni f� : �,_ ���-�- �-- D�t� 04/OS/Z005 <br /> u��m <br />