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Pran: <br />0���4/2010 16:23 <br />PERMIT APPLICATION <br />��i��ClTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982i)1, 425-257-8810 <br />425-257-8857 FAX <br />.711 C HUUKCJ:! PARCEL TAX I.D.# — <br />G120 LOMDARD AVE, EVEI2ETT, WA 98203 00544900201701 <br />LEGAL LOT NO. BLOCK �TFL <br />OWNER ADDRESS <br />MINOR, LAURA 6120 LOMBARD AVE <br />• EVERETT, MA 98203. <br />(PARENTS) <br />CUNTRACTOR <br />PAST WATER IIEATER COMPANY <br />�E 425-636•7054 <br />IPOSED llSE OF BUILDIN <br />Residential <br />IcoNTACT NAME <br />Carol Randall <br />tESS <br />12601 132NA AVE NE <br />KIRKLAND, WA 98034 <br />Bulldinp M�ehanlea <br />T �—� Comb�nation PIum6lnp WORi <br />DcmollGon Slpn T'�PE <br />�.v�.�rwa,� rn��,c vr wvK1� $349.00 <br />WORK DESCRIPTION Remove/Replaco Electric Water Heater <br />WATER CLOSET <br />BATNTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLGTHES WASHER <br />URINAL _ <br />ORINKING FOUNTAIN <br />FIOOR ORAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/6AR/MOP/ETC.) <br />OTHER <br />1 <br />� <br />tt330 P.002/002 <br />474995 <br />� -/ 4 /!� <br />PERMIT# <br />���-� � - � a � <br />PHONE <br />(425)308-7404 <br />PHONE <br />?25-636-7054 <br />CONTR.LICENSE# <br />NASTW W H948BC <br />O 1/04/2012 <br />30URCE <br />�105 <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HODD <br />WATER HEATER <br />METAL FIREPLACFJSTOVE <br />FIREPIACE INSERT <br />OAS FIREPLACE <br />GAS RANGE <br />GAS PIPINO <br />EXHAUST FAN <br />OTHER_� _,_,^ <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A?I.ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAW^u AND OROINANCES GOVERNING THIS TYPE OF WORK N/ILL BE COMPLIED WIHT WHETHER SFECIFIEO HEP.E <br />OR NOT. TFfE ORAtJTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRQVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGl1LATING CONSTRUCTION OR THE PERFORMANCE OF CON9TRUCTION. THA7tAM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM TH[ WORK FOR WHICHAPPLICATION IS MADE AND 1 COMPLY WITH 7HE SiATE <br />CONTRACTORS LAW 18.27 RCW AND 28f{.20D WAC. <br />of OwnedContracWr/Authorizod Agent <br />Date Ol/1420I0 <br />UI 0.�1 <br />