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Sent By: HP Laset,Jet 3100; <br />4258249516; Aug-15-06 1:19P1•!; Page 2/4 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />06150ti <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />11401 W IRBF.RSON,GVERF17, WA 98208 <br />0047960000;100 <br />Moog-p� <br />LEGAL <br />LOT NO. <br />BLOCK TRACT <br />DE <br />OWNER <br />ADDRESS <br />PHONE <br />LLLWELLYN, DONALD <br />1 1401 W I13Bt'.RSON <br />(425)585-0754 <br />• FV_FRL'FV, WA 98208 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PANIFT..A HILL <br />425 814 3I24 z133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HL'ATFR COMPANY <br />12601 132ND AVCNE <br />FASTW WH9181W <br />lCILW AND, WA 98034 <br />01103/2008 <br />PHONE (425)814-3124 <br />PROPOSED USE OF BUILDING <br />rAechanlca <br />WORK <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Gombinadon nlumbIna <br />Alteration <br />ElacInc <br />TYPE <br />IBuilding <br />Damolltlon Sign <br />TYPE <br />New <br />as <br />r nkl r <br />Re air(MaI I <br />user <br />CONTRACT PRICE OF WORK $349.00 <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace E•lecn•ic Water Heater <br />PLUMBING <br />MECHANICAL <br />NO, I TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />_,.,----- <br />AIC•A/HANDLING UNITS <br />___•,_ <br />BATIITUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK S DISPOSAL <br />---_ <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACEISTOVE <br />T <br />URINAL <br />—__ <br />FIREPLACE INSERT <br />_- <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ �_ <br />EXHAUST FAI <br />OTHER _- _ <br />�__ <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 HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUT:IORITY 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 OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Owns dContractor/Authorized Agent ,.,c-.•. = ".,�- ,Z;, r:::'�. �- Date 08/152006 <br />