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�ron: 02/20/2009 13:39 A3B5 P.002/003 <br /> PERMIT APPLICATION 434685 <br /> �wi� CITY OF EVERETT PERMIT SERVICES <br /> ��, 3200 CEDAR STREET, EVERETT, WA 982Q1, 425-?57-8810 <br /> 425-257-BB57 FAX 1 —�4�-�� <br /> SITE ADDRESS PARC�L TAX I.D.# PERMIT� <br /> 1G�6ORCA VIGW LN,EVEW:Tf, �VA 98203 0073380DOOZ400 �L��� �J� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> BARCLAY,RO11E 16]6 GRCA VIBN LN s;.�G98 <br /> • FVrR6TT,WA 98203 (425)3_ <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSEM <br /> FASTWATERI-ILA7'LRCOMPANY 12601132NDAVf:NE ppS'fWWH948BC <br /> 425-636-7054 �ftKLnNU, �vA 98034 OIi04/2010 <br /> PROPOSED USE OF BUILDINO euimi�o e�•en.ni0+ WORK �di6on H AT SOURCE <br /> PERMIT Comhln�Non PlumEln Nl�r�tlon EI�etAc <br /> TYPE D�moqllon Slpn TMPE N�w as <br /> r R� �Ir7Malnt Mer <br /> CONTRACT PRICE OF WORK $449.00 CI7Y OF EVERETT LOCAL SALES TAX CODEIS ��OS <br /> WORKDESCRIPTION Rcmovc/IicplaccGasWatcrlieater <br /> pLUMBING MECHANICAL <br /> NO. PE OF FI TU I EM O OF IXTU R ITEM <br /> ______ � WATER CLOSET _______ q/C-A/NANDLING UNITS <br /> _____ BATHTUB __�___ FORCED AIR SYSTEMS <br /> _____ LAVATORY (WASH BASIN� ____ HEAT PUMP <br /> ___,..__ SMOWER _,__ UNIT HEATERS <br /> ______ KITCMEN SINK 8 DISPOSAL �_,_ CLOTHES ORYER <br /> _____ DISNWASHER __ _ ItANGE HOOD <br /> ______ LAUNDRV TRAV _�1__ WATER HEATER <br /> ____ CLOTHES WASHER _�_ METAL FIREPLACEISTOVE <br /> __ URINAL _ FIREPLACE INSERT <br /> �_ OR(NKING fOUNTAIN ___ OAS FIREPLACE <br /> _ FLOOR DRAIN _` GAS RAN6E <br /> ____ BACKFLOW PREVENTER __ GAS PIPING <br /> ____ SINK (SERVICE/BAR/MOP/ETC.) ___ EXHAUST FAN <br /> _�__ OTHER__ ___ ___ OTHER____�_ <br /> I HEREBY C[RTIFY THAT I HAVE READ AND EX/�MINED THiS APLICATI04 AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AYO ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WIHT WNETNER SPECIFIEO MEREI <br /> OR YOT.THE GRAIJTING OF A P[RMIT DOES NOT PRESUME TO GIV[AUTIIORITV 70 VIOLATE OR CANCEL TME PROVISpN OF ANY <br /> OTHER STATE OR LOCAI Ll�W REGULATING CONSTRUCTI04 OR THE PERFORMANCE OF CnNS'RUCTION.THAT 1 AM AUTHORIIED <br /> BV THE OWNER OF TIi1S PROPERTY TO PERFORM TH[WORK FOR WHICli APPLICATION IS MADE AND I COMPLY WITM THE STATE <br /> CONTRACTGRS LAW 18.27 RCW AND 298.200 WAC. <br /> Sipnature of OwnerlContractorlAuthorlxetl Agant ��yyy�����QP Date 02/24/2009 <br /> J <br /> ui�m <br />