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From: 12/03/2008 16:01 RO88 P.003/003 <br /> i <br /> PERMIT APPLICATION 424183 <br /> �1��� CITY OF EVERETT PERMlT SEFtVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 10927 PAINE FIELD WAY,EVL•RETI',WA 98204 00827200000500 �n llct'jJ 2— O I <br /> ��- � V <br /> LEGAL LOT NO. BLOCK TRACT <br /> E <br /> OWNER ADDRE38 PHONE <br /> PHAYSITH,SAB 10927 PAINE FIELD WAY (q25)344-3230 <br /> • EVERETT,WA 98204 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 900�54-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEk <br /> PAST WATER HEATER COMPANY 12601 132W AVE NE PASTWWH948BC <br /> _ 800-454-8955 K[RKLAND,WA 98034 Ol/04/2010 <br /> PROP05ED USE OF BUILDING ewid�no M.�n.ni�a WORK Addlllon H T SouRCE <br /> PERMIT Comhln�lbn Piumb��p Nt�ntbn NetAe <br /> IYPE D�mollllon Slpn T�'PE N�w as <br /> R� rlM�Int ar <br /> CONTRACT PRICE OF WORK 5449.Q0 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Removc/Repl¢cc Gas WaterHeatcr <br /> PLUN�BING MF.�HANICAL <br /> N . O FI E I E O. E OF U OR ITE <br /> _,_ WATER CLOSET ____ A/C-AIHANDLING UNITS <br /> ___ BATHTU9 ____ FORCED AIR SYSTEMS <br /> �_ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER __ UNIT HEATERS <br /> ____ KITCHEN SINK 6 OISPOSAL _�_ CLOTHES DRVER <br /> ____ DISHWASHER _ _ RAN6E HOOD <br /> ___ LAUNDRY TRAY __�__ WATER HEATER <br /> _.._ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> �RINAL ___ F�REPLACE INSERT <br /> � DRINKING FOUNTAIN _ (3A8 fIREPIACE <br /> , FLOOR DRAIN ____ GAS RAN6E <br /> _` BACKFLOW PREVENTER _! CiAS PIPINO <br /> __ SINK (SERVICEIBARIMOPlETC.) _� EXHAUST FAN <br /> __�_ OTHER___ OTHER___ ��___, <br /> I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APtICAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WIHT WHETNER SPECIFIEO HEREI <br /> OR NOT.THE GRANTING OF A PERMR DOES NOT PRESUME TO ONE AUTHORI'fY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUC710N OR THE PERFORMANCE OF CONSTRUCTION.TNAT I AMAUTHORIZED <br /> BY TME OWNER OF TFiIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND I COMPLY WRH TME SiATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WqC. <br /> Sipneturo of Ownar/ContractorlAuthorized Ayant �Aeyyy���,�,�Qp D�te �y03200R <br /> --- f <br /> pi�m <br />