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Sent By: HP Lasef'Jet 3100; 4258249516; Aug-3-06 12:40PI.1; Page 2/3 <br />PICRMIT APPLICATIVN <br />,- <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />080306 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />2426 GRAND AVE, EVERFTf. WA 98201 <br />00439155601900 <br />- <br />LEGAL <br />LOT NO. <br />BLOCK (TRACT <br />D <br />OWNER <br />ADDRESS <br />PHONE <br />COLLINS. S1iERY1, <br />5016 ^_3 AVE \V <br />(425)348-6264 <br />• EVERETT, W:1 95203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />MA!!_ING ADDRESS <br />P.AMLLA III1.I. <br />42i S 14-3124 .\ 133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HL•ATER COMPANY <br />12601 132ND AVE NE <br />FAST%V\\'H9486(' <br />KIRKI.AND, WA 9S031 <br />01/0/2008 <br />PHONE 125 814.3124 <br />PROPOSED USE OF BUILDING <br />Bulldinp raacnan!ca <br />WORK <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Combination plumbing <br />Altaratlon <br />CDElectric <br />TYPE <br />Demolition :ilpn <br />TYPE <br />New <br />as <br />r <br />Re nWMaint <br />-4her <br />CONTRACT PRICE OF WORK 5349.n0 <br />ZITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Rcmove/Replace Electric Water Hearer <br />PLUMBING <br />MECHANICAL <br />INO, I TYPC OF FI?(TURg OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />A1C-A/HANDLING UNITS <br />BATHTUB <br />�T__ <br />FORCED AIR SYSTEMS <br />_______ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />—__ <br />UNIT HEATERS <br />KITCHEN SINK B DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />---- <br />WATER HEATER <br />CLOTHES WASHER <br />A—_ <br />METAL FIREPLACE/STOVE <br />URINAL <br />—_—_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />—__ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />—_� <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK(SERVICEIBAR/MOPlETC,) <br />_—_ <br />EXHAUST FAN <br />_ <br />OTHER_—_-- <br />------ <br />OTHER ---------------- -------- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION A'vD KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE( <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTI 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 WHICHAPPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />Signature of Owner/ContractorlAulhnrixed Agenl .- !� s,-- Date OW0312U06 <br />