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APR-02-2011 07:51 From:4258149516 Paee:2�2 <br />PERMIT APPLICATION 535583 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR ST' _ET, EVERETT, WA 98201, 425-257-8810 <br />425-257-6857 FAX <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />�506 LOM©ARD AVE. FVERLTT, WA 98201 <br />00438185603000 <br />zz <br />LEGAL <br />LOT NO. <br />BLOCK <br />(TRACT <br />_DES <br />OWNER <br />ADDRESS <br />PHONE <br />3506 06 LOMBARD AVE <br />DUNLAP, JAMES <br />I <br />(425)772-8545 <br />EVERETT, WA 98201 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />Tali e clS [ <br />425-036-705i-,, <br />CONTRACTOR <br />_ <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />FASTW WH94SBC <br />_ 425-636-70 EiL{ <br />KIRKLAND. WA 98034 <br />01/04/2012 <br />PROPOSED USE OF' BUILDING <br />Bulidinp Mechanics <br />WORKit- <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Com�InaHon Plumbing <br />Altoration <br />®Electric <br />Residential <br />TYpE <br />Demolition Jsign <br />TYPE <br />New <br />as <br />r <br />Re alrlMalnt <br />her <br />CONTRACT PRICE OF WORK " ��r� — <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/ReplaceEICCtriC Water Heater <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />AIC•AIHANDLING UNITS <br />BATHTUH <br />_ _ _ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK $ DISPOSAL <br />CLOTHES DRYER <br />_�.. <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />CLOTHEfi WASHER <br />METAL FIREPLACEISTOVE <br />_ <br />URINAL <br />FIREPLACE 114SERT <br />_ <br />DRINKING FOUNTAIN <br />_ <br />GAS FIREPLACE <br />rL0^R DRAIN <br />BACKFLOW PREVENTER <br />_W _ <br />GAS RANGE <br />GAS PIPING <br />SINK (SERVICElBAR/MOP/ETC.) <br />EXHAUST FAN <br />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 WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE( <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNLR OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCA' AND 295.200 WAC. <br />Signature of Ownor/Contractor/Authorized Agent C" I, Date 03/31/2011 <br />