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From: OR/27/2U�8 14:54 �935 P.002/0�2 <br />� <br />�� <br />SITE <br />PERMIT A,PPLICATION <br />CITY OF EVERETT PERMIT SERVtCES <br />3200 CE�AR STREET, EVERETT, WA 98201, 425-257-8810 <br />_ 425-257-8857 FAX <br />L TAX I.D.# <br />5915 LOMBAItD AVE, EVERE7"1', WA 98203 00495801200400 <br />LEGAL LOT NO. BLOCK <br />OWNER ADDRESS <br />KERBY, JAMGS 5915 LOMBARD AVE <br />� EVERETT, MA 98203 <br />TENANT NAME CONTACT NAME <br />FAST WATGR HEATER COMI'ANY � 12601 132ND AVE NE <br />800-454-8955 KIRKLAND, WA 9803q <br />PROP05ED USE OF BUILDINO Bw�d�np M�ohsnica <br />PERMIT Combinatlon PIum6lnp W�RK <br />1YPE O�molltion g�e� TYPE <br />CONTRACT PR�CE CF WQRK ggqg,pp CITY OF EVERET <br />NORK DESCRIPTION Remove/Repince Elcctrlc Water Heater <br />LAVATORY (WASH BA31N) � <br />SHOWER <br />KITCHEN SINK 6 DISPDSAL <br />DISNWASHER <br />LAUNpRY TRAY <br />CLOTHES WASHER <br />lSRINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFI.OW PREVENTER <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER <br />N�w <br />414398 <br />PHONE <br />(425)353-7604 <br />800-454-8955 x 133 <br />CONTR.LICENSE# <br />PASTW WFI948DC <br />O1/04/2010 <br />31 <br />,.__ FORCEb-AIR SYSTEMS � ' .. <br />_�_ HEAT PUMP <br />UNIT HEAYERS <br />_ CLOTHES DRYER <br />� _ RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />.�__ FIREPLqCE INSERT <br />OAS FIREPL4CE <br />GAS RANGE <br />C3AS PIPING <br />E7(HAUST FAN ' <br />_ OTHER <br />HEREBYCERTIFY THqT I HAVE READ AND EXAMINED THISAp���q7'�ON AND KNOW THE SAME TQ BE TRtIE AND CORRECT. ALL <br />'ROVISIONS OF LAWS AND ORDINAWCES GOVERNING THIS TYpE OF WORK WILL BE COMP�IED WIHT WHETHER SPECIFIEU HERE <br />)R NOT. THE ORANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORIIY TO VIOLATE OR CANCF:L THE PROVISION OF ANY <br />)THER S7ATE OR LOCAL LAW REGULq71NG CONSTRUCTION OR THE PERFC'iMANCE OF CON5TRUCTION. THATI AMAUTHORIZED <br />�Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WF;ICHAppLiCAT10N IS MqDE ANO I COMPLY WITH THE STpTE <br />�ONTRACTORS LAW 19.27 RCW ANti 298.200 WAC. <br />of Ownor/Contractor/Autharized Agont �,�a���,y„��,1 <br />Date 08/27/2008 <br />UI�MI <br />