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From: 10/�3/20�6 09:24 p977 P. 003/003 <br /> ,--� PERMIT APPLICATION <br /> cwi�� CITY OF EVERETT PERMIT SERVIGES <br /> r 3200 CEDAR STREET, EVERETT, WA 98201, �25-257-8810 <br /> . 1OG306 <br /> SITE AD6RESS PARCEL TAX I.D.# PERMIT# <br /> 1030 HOYT AVG,EVERI3TT, \VA 98201 004G8G21503101 /�.^ _ � <br /> / 7 <br /> LEGAL LOT NO. BLOCK ITRACT <br /> D <br /> pVVNER ADDRESS PHONE <br /> KNUDSOV,S3IARON 1a30 tIOYT AVE <br /> (435)253•II'_9 <br /> • EVIRETT,NA 983�1 <br /> TENANT NAME CONTACTNAME PHONE <br /> pAM�LAHILL 425 Si4-3124x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WA"1'ER HEA"1'ER COMPANY 12601 132ND AVE NE FASTW'�VH9dRBC <br /> (425)814-3124 �Ru-��D,WA 98034 O1/03/ZOOS <br /> PROPOSED USE OF BUILD(NG ew�d�np mechanica WORK �di��on HEAT SOURCE <br /> PERMIT Combinellon Plumbin0 Altontlon Electria <br /> '►'ypE Dumolilion Slgn TYPE New as <br /> r kl r Re alrMlaint thor <br /> CONTRACT PRICE OF WORK g349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION �temove/Replace ElecVic WarerlIeater <br /> PLU�dBING MECHANICAL <br /> NO. TYPE OF FIXTLIRE OR ITEM NO. TYPE a'SF FIwTURH Of3 ITEM <br /> ___ WATER CLOSET ______ A/C-AIHANDLING UNITS <br /> _,_ BATHTUB ______ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) �___ HEAT PUMP . <br /> __ SHOWER ___ UNIT HEATERS <br /> ____ KITCHEN SINK 8 OISPQSAL � _�_ CLOTHES ORYER <br /> ___ DISHWASHER __ _ RANGE HOOD � <br /> ___ LAUNORY TRAY _t__ WATER HEATER <br /> __ CLOTHES WASHER _� METAL FIREPIIICE/STOVE <br /> _ URINAL _Y_ FIREPL4CE 4NSERT <br /> __ DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> _ FLOOR DRAIN _� GAS RANGE <br /> ____ BACKFLOW PREVENTER __ GAS PIPING <br /> ___ SINK (3ERVICEIBAR/hSOPlETC.y ___ EXHAUST FAN <br /> ----- OTHER--- -- — oTHER_»---------------- <br /> I HERC-BY CERTIFY THAT I FIAVE REAO AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE�ND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T'PE OF WORK WILL BE COMPLIEO 4VIHT WFIETHER SPECIFIED NEREI <br /> OR NOT.THE GRANTING OF A PERMIT�OES NO7-PRESUMc TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCA!lAW REGULATIYG CONSTRUCTI04 OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWkER OF TNIS PROPERTY TO PERFORM THE WORK FOR N'HICFI APPLICATION IS tdA�E AND 1 COMPLY WITH THE STAT[ <br /> CONTRACTORS lAW 18.27 RCW AND 296.20Q WhC. <br /> Signatura of OwnodContrnctorlAuthorized Ageni ��--��,r_��:�.�..- Oate �0;03l2006 <br /> ui o�i <br />