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From: <br />� <br />SITE <br />O6/30/2009 09:49 q103 P.002/003 <br />PERMIT APPLICATION �9313 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857FAX �j ���b� <br />PARCEL TAX I.D.� <br />219 MORGAN RD, LVERE7"I', WA 98203 00392000000504 <br />LEGAL LOT NO. BLOCK <br />� <br />OWNER ADDRE3S <br />ESPE, MARLGNE z�9 MORGAN RD <br />• EVERE'CT, WA 98203 <br />E <br />ICONTACT N� <br />Caroi kanda <br />CONTRACTOR IADDRESS <br />FAST WATER HEATER COMPANY 12601 I32ND AVE NE <br />425-63�-7054 KIRKLAND, WA 98034 <br />PROPOSED US� OF BUILDING eundi�o M <br />PERMIT Comhlruqan PI <br />TypE Oamolitton el <br />CONTRACT PRICE OF WORK $4q9.00 C <br />WORK DESCRIPTION Remove/Rcplacc Gas Watcr Hentcr <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTFIES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBARlMOP/ETC.) <br />OTHER <br />� � <br />� �lUqi� -C��f <br />RACT <br />PHONE <br />(A25)347-7744 <br />PHONE <br />425-636-7054 <br />CONTR.UCENSEt� <br />PASTW WI1948BC <br />Ol/042010 <br />WORK Additlon H T SOURCE <br />NtKaqon EI�etAe <br />TYPE N�w aa <br />R� �IrlMtlnt 1h�r <br />VERETT LOCAL SALES TAX CODEIS 3105 <br />fORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEA7ER <br />METAL FIREPLACEf570VE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RAN6E <br />(3AS PIPIN6 <br />EXHAU3T FAN <br />OTHER_ __�__��_ <br />1 HEREBY CER7IFY THHT I HAVE READ AND EXAMINEO THIS APLICATION AND KNO W THE SAME TO BE TRUE AND CORRECT, ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TfiIS TYPE OF WORK WILL BE COMPLIED WIHT WNETHER SPECIFIED MERE <br />OR NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUITE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT t AM AUTHORIZED <br />EiY TNE OWNER OF Tti15 PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298200 WAC. <br />of OwnedContractorfAuthorized Apent y���_.yW���„�(��p D�te 06/302009 <br />_J� � . / <br />ai n� <br />