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From: 08/1a/2007 14:46 q321 P.002/003 <br />PERMIT APP�.ICATION 375131 <br />��✓�� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-Ei810 <br />425-257-8857 FAX <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />IOlU9 MON'fANA RD, EVERLTT, WA 98204 0055240070I103 �p Z� �(� <br />LEGAL LOT NO. BLOCK TRACT <br />OE <br />OWNER ADDRESS PHONE <br />STEWART, M[KE 10109 MONTANA RD <br />• EVERETT, \VA 98204 (4251355-9501 <br />TENANTNAME CONTACTNAME PHONE <br />Pameia HIII 800-454-8955 x 133 <br />CONTRACTOR ADDRESS CONTR.LICENSEA� <br />RAST NATER HEATER COMPANY 12601 132ND AVE NE <br />FAS'I'lV WH948BC <br />(425)814-3124 KIItKI.AND, WA 98034 Ol/03l2008 <br />PROP05ED USE OF BUILDING Bul�e�np M�eeania Addltlon H T SOURCE <br />P6RMIT Combinedon plumbinp W�RK NI��aSon IeeWc <br />TYPE Damolllion Slpn TYPE N�w a� <br />R� airllNalnl tMr <br />CONTRACT PRICE OF WORK $349.00 C17Y OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Iteplace]ilectric WaterHcater <br />ej,UMBING MECHANICAI <br />N. OF TL1R I NO. OF U R ITEM <br />___ WATER CLOSET A/C-A/HANDLING UNITS <br />--- BATH�B ~~� FORCED AIR SYSTEMS <br />___ LAVATORY (WASH BASIN) ~ _ HEAT PUMP <br />_�_ SHOWER UNIT FiEATERS <br />_____ KITCHEN 81NK 8 DISPDSAL _ CLpTHE3 DRYER <br />____ DISHWASHER RANGE HOOD <br />_�_ IAUNOFtY TRAY _1_ WATER HEATER <br />_� CLOTHFS WASHER METAL FIREPLA�E/STOVE <br />____ URINAL __�_ FIREPLACE INSERT <br />_,._ DRINKING FOUNTAIN _ pA3 FIREPLACE <br />FLOOR DRAIN GAS RAN6E <br />__ BACKFLOW PREVENTER OAS PIPIN6 <br />____ SINK (SERVICFJBAR/MOPlETC.) �� EXHAUST FAN <br />___ OTHER _ OTHER___ _______ <br />1 FiEREBY CERTIFY THqT � HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE qND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WNETHER SPECIFIED MEREI <br />OR NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TMAT� AM AUTHORI2ED <br />BY THE OWN[R OF THIS PROPERIY TO PERFORM THE WORK FOR WHICN APPLICATION IS MnOE AND 1 COMPIY WITH TME STATE <br />CONTRACTORS LA�N 18.27 RCW ANO 29620D WAC. <br />Siynaturo of DwnbrlContnctorfAuthorized Agnni �,��G,� �Y �� Date 03/l32007 <br />esi .ni <br />