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From: 01/29/2009 11:49 R037 P.004/004 <br /> PERMIT APPLICATION 431446 <br /> ���� CITY OF EVERETT PERMIT SERVtCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-25T-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.l� PERMITJi <br /> 6019 MERIDIAN AVE,EVERE7T,WA 98203 0079410000300D �D`.�C� , OrL,� <br /> T <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> SAUCEDA,ROIIERT&JENN�FGR 6019 MERIUTAN AVE (Zp6�12-5002 <br /> • EVEILF.'I"I',WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FA57'WATEK1i6ATGRCOMPANY 12601132NDAVENE FASTWW't194RBC <br /> KIRKLAND,WA 98034 Ol/04/ZO10 <br /> 425-836-7054 <br /> PROPOSED USE OF BUILDING suna�no M�eh�nlu WORK AdAltion H T SouRCE <br /> PERMIT CorMlndion Plumbing AIIKaGon NetAc <br /> TYPE D�moilWn 81pn TtipE N�w as <br /> R� tlNM�Int h r <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SAIES TAX CODEIS ]705 <br /> WORK DESCRIPTION Rcmove/Replace Gas Water Hceter <br /> PLUMBIkG �CHANICAL <br /> OF I F T R IT <br /> �____ WATER CLOSET _____ A/G-A/HANCLINO UNITS <br /> _ BATH7UB _____ FORCEO AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) NEAT PUMP <br /> _ SHOWER UNIT HEATERS <br /> __ KITCN2N SINK 8 UISPOSAL __�__ CLOTMES DRYER <br /> , DISHWASHER __ _ RANGE HOOD <br /> _� LAUNDRY TRAY .!1__ WATER HEATER <br /> � CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> _ URINAL ____ FIREPLACE INSERT <br /> ` ORINKING FOUNTAIN ,__ OA8 FIREPLACE <br /> FLOOR DRAIN (iA8 'r'tAN6E <br /> __ BACKFLOW PREVENTER �iAS PIPINci <br /> _, SINK (SERVICE/BAR/MOPlETC.) _,_ l-'<HAtJ3T FAN <br /> _ OTHER— --- GTHER---------------- <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP�ICATI04 AND KNOW THE SAME Tp BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WIHT WHETHER SPEGFIED HEREI <br /> OR NOT.THE GRANTIN6 OF A PERMIT DOES NO7 PRESUME TO CIVE AUTHORI7Y TO VIOLATE OR CANCEL?HE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOR�ZED <br /> BY?HE OWN[R OF TIi1S PROPERTY TO PERFORM THE WORK FOR WHICH ApPLICATION IS MADE AND t COMPLY WITH THE STATE <br /> COHTRACTORS LAW 16.27 RCW AND 298.200 WAC. <br /> Signeturo of Ow�erfCo�traetorlAuthori:�d Apent �Ay�y7�.�,�„�p Dat� 01/29/2009 <br /> / <br /> m�ai <br />