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From: 01/t.t/2011 10:45 X708 P.004/004 <br />PERMIT APPLICATION 524049 <br />l,���� CITY OF EVERETT PERMIT SERVICES <br />F 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX �, 1 � _ // <br />SITE ADDRESS PARCEL TAX I.D.# PERMITi� <br />2709 GRAND AVi3, EVERETT, \9A 98201 004391G2200500 �„� �� � �-�, t�t <br />� <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />SUPOC, �9ARTIN NO EMAIL � <br />(4_5)252-1877 <br />TENANTNAME CONTACTNAME PHONE <br />Carol Randatl 425-636-7054 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />FAS'I' \VATI3R HIiAT13R COMPANY 12G01 132ND AVL• NE FASTW�1'11948E3C <br />4?5-636-7054 KIRI:LAND, 1VA 98034 OI/042012 <br />PROPOSED USE OF BUILDING euuai�o M.cn.nica Additlon H T souRCE <br />PERMIT Combin�Non Plumbinp WORK IUtendon ElacMc <br />Residential TypE D�molition slpn TYPE Nwu aa <br />r R� airlMainl ar <br />CONTRACT PRICE OF WORK CITY OF EVERETT LqCAI :i��ES TAX CODEIS J105 <br />WORK DEo'CRIPT�ON Kemove/lieplace Lleclric \4ater I3enter <br />PLUMBING MECHANICAI. <br />OF I TUR ITEM P OF TUR R tTEM <br />__�__ WATER CLOSET __ _ A/C-AIHANDLINCi UNITS <br />____ BATHTUB _ _ FORCEO AIR SYSTEMS <br />______ LAVATORY (WASN BASIN) ,_ _ HEAT PUMP <br />______ SIIOWER ___ UNIT HEATERS <br />—____ KITCHEN SINK 6 DISPOSAI __ CLOTHES DRYER <br />___�__ DISNWASHER _ � RANGE M�OD <br />______ LAUNDRY TRAY 1_ WATER HEATER <br />____ CLOTNES WASHER _ METAL FIREPLACElSTOVE <br />_�_ URINAL _y FIREPLACE INSERT <br />__._ DRINKING FOUNTAIN GAS FIREPLACE <br />____ FLOOR DRAIN _ GAS RAN6E <br />_�__ BACKFLOW PREVENTER _ GAS PIPIN6 <br />__�_ SINK (SERVIGE/BAR/MOPlETC.) � EXHAUST FAN <br />---- OTHER^----- _ OTHER_��_��---_ _– <br />I HEREBY C[RTIFY TI IAT I HAVE READ AND E%AMINEO THIS APLICATION ANO KNOYJ TNE SAME TO BE TRUE AND CORRECT. ALL' <br />PROVISIONS OF LAWS nND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED MEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOIATE OR CANCEL TNE PROVISION OF ANY <br />OTHER STATE OR LOCAL U�W REGULATING CONSTRUCTION OP. THE PERFOFMANCE OF CONSTRUCTION. TMAT I AM AUTHORI2E0 <br />BY THE OWNER OF 7NIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO 1 COMPLY WITH THE S7ATE <br />CONTRqCTORS LAW 16.27 RCW AND 29G.200 WAC. <br />Signaturo of OwnerlConlractorlAulhori:ed Agenl ��,�.�� f�,�,,,�dp ���� 01/1 I/20I 1 <br />UI NI <br />