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From: <br />l <br />O6/$�/2010 12:07 R676 P.002/002 <br />d <br />a <br />PERMIT APPLICATION 4s"2' <br />���� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 / <br />425-2b7-8857 FAX b � au �-/ (� <br />'E ADDRESS PARCEL TAX I.D.# PERMIT# <br />5110 HILLTOP RD, EVERETT, WA 98203 29043600407300 <br />LEGAI LOT NO. BLOCK <br />OWNER ADDRE8S <br />ROBERTS, DEBRA 5110 FRLLTOP RD <br />_ • EVERETT, WA 98203 <br />Carol <br />FAST WATER HEATER COMPANY � 12601 (32ND AVE NE <br />PHONE <br />425-836-7054 KIRKLAND, WA 98034 <br />PROPOSED USE OF BUILDIN(i &+��d�^a �t.ehantc <br />PERMIT Combin�lbn Plumbinp <br />Reside��tial TypE DunWuon g�pn <br />CONTRACT PRICE OF WORK 5449.00 CI7Y OF <br />WORK DESCRIPTION Remove/Replace Ges Water Heater <br />LAVATORY (WASH BASIN) <br />9HOWlR <br />KITGMlN SINK 6 DISPOSAL <br />DISHWA9HER <br />LAUNDRY TRAY <br />CIOTHE3 WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKRqW pREVENTER <br />SINK (SERVICEJBARIh10PIFTC.) <br />OTHER <br />PHONE <br />(425)258-2025 <br />PASTR'WH948BC <br />01/O4/2012 <br />N�w <br />FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />UNIT HEATER$ <br />_ CLOTHES DRYER <br />RANGE HOOD <br />� _ WATER HEATER <br />__ AAETAL FIREPLACE/STOVE <br />_ FIREPLACE INSERT <br />OA8 FIREPLACE <br />GAS RANOE <br />GAS PIPWO � <br />IXHAUST FAH <br />OTHER� _�� <br />.. <br />HEREBY CERTIFY THAT I HAVE READ ANp EXAMINEO THIS pPLICAT1pN /WD KNOW THE SAME 70 BE TRUE AND C�IRRECT. ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYpE OF WORK WILL BE COMPLIED WIHT WMETMER SPEGFIED NEREI <br />Nt NOT. TME ORANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOUITE OR CANCEL TME PROVISION OF ANV <br />>THER STATE OR IOCAL LAW REW LATINO CONSTRUCTION OR THE PERFORINWCE OF CONSTRUCTpN. lMAT I AM AUTMORIZED <br />iY TFiE OWNER OF TMIS PROPERTY TO PERFORM i}IE WORK FOR WHICH APPLICATIpN IS MADE AN01 COMPUGVYITM tlfE STATE.,. _ <br />:ONTRACTORS LAW 18.27 RCW AND 298.20U WAC. <br />RI <br />Apant <br />D�t� �n3l2010 <br />u�.�ai <br />