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from: 11/O6/?007 14:17 tt290 P.003/003 <br /> PERMIT APPLICATIOIV 363712 <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5008 MERIDIAN AVL,EVGRL-1"1',WA 98203 00393500001702 �'� �:� � � —�p� <br /> LEGAL LOT NO. BLOCK TRACT <br /> E <br /> OWNER ADDRESS PHONE <br /> DOBOSZYNKi,DARIIARA 8008 MERIDIAN AVG (425)773-0062 <br /> • L•VLRETT,WA 98203 <br /> TENANTNAME CONTACTNAME PHONE <br /> NGEDS AFTERNOON AND LEADI! Carol Randall 300-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEi� <br /> FASTWATHRHLATERCOMPANY 12601132NDAVENE PAST\VWIi948UC <br /> BDO-454-8855 KIRKLAND,\vA 98034 O1/03R008 <br /> PROPOSED USE OF BUILDING ewidino M•en.ntQa WORK Add1°O" t; T souRCE <br /> PERMIT ComhlnaHon PIum61n Al1ar�8on Elec�ric <br /> �ypE O.moll6on Slpn TYPE N�w Gaa <br /> Re �IrlM�Int tber <br /> CON7RACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAl(CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Electric tVatcr Hcatcr <br /> PLUMBING MECHANICAL <br /> OF U E N OF FIXTU R ITEM <br /> �,_ WATER CLOSET ___ A1C•A/HANDLIN6 UNITS <br /> BATHTU9 FORCED AIR SYSTEMS <br /> _�_ LAVATORY(WASH BASIN) ______ HEAT PUMP <br /> _ SHOWER __ UNIT HEATERS <br /> _, KITCHEN SINK 8 DISPOSAL _�_ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> � LAUNDRY TRAY 1__ WATER H�AT�ER <br /> __ CLOTHES WASHER �__ METAL FIREPLACE/STOVE <br /> � URINAL _�� FIREPLACE INSERT <br /> _ DRINKING fOUNTAIN �__ GAS FIREPI.ACE <br /> FLOOR DRAIN GAS RAN6E <br /> �__ BACKFLOW PREVENTER __ 6AS PIPIND <br /> ____ SINK (SERVICE/BAR/MOPlETC.) EXNAU3T FAN <br /> __ OTHER _ OTHER__ �____� <br /> I HEREBY CGRTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION 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 WHETHER SPECIFIED MEREI <br /> OR NOT.THE GW.NTI�G OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR TME PERFORNANCE OF CONSTRUCTION.IN/1T 1 AM AUTHORIZED <br /> BY TNE OWNER OF THIS PROPERTY TG P[RFORM THE WORK FOR WHICH APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.20f1 WAC. <br /> SipnaWra otOwnerlControctodAuthotized Agont �,_yyy7l��,,,,�Qp D�b ���oG/2007 <br /> '_" ' / <br /> UI�/tl <br />