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From: 09/�R/20U7 18:11 N061 P.003/004 <br />i <br />PERMIT APPLICATION 378'161 <br />�����CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 F/U: <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />6716 MORGAN RD, EVLRETT, WA 98203 28050600302500 ��' 1 �7� —(i2(� <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />GIBSON, SHIRLEY 6716 MORGAN RD (425)355-6842 <br />• EVGRETT, WA 98203 <br />TENANT NAME CONTACT NAME PHONE <br />Carol Randall . 800-d54-8955 x 133 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />FAS'C W ATER HEA'; ER COMPANY 12601 132ND AVE NE FASTW WH548IIC <br />KIRICLAND, WA 98034 Ol/03/2008 <br />800-y5A-8855 <br />PROPOSED USE OF BUILDING swiemp M�«�o� yyORK �d�uO" N T SOURCE <br />PERMIT ComhlmUon Piumbin Nt�nBon EI�etrlc <br />rrPE o.monuo� a�o� nPE n.w �. <br />R� �IrlMalnt ther <br />CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 1105 <br />WORK DESCRIP710N Remove/Replace Gas Water Henter <br />PLUMBING MECHANICAL <br />OF FI TU ITE OF XTU O E <br />� WATER CLOSET _� A/C-AIHANDLINO UNITS <br />^ BATHTUB _�_ FORCEO AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) __� HEAT PUMP <br />SHOWER __ UNIT HEATERS <br />__ KITCHEN SINK 6 DISPOSAL _� CLOTFIES DRYER <br />_ DISHWASHER __ _ RANGE HOOD <br />__ LAUNDRY TRAY 1__ WATER HEATER <br />_ CLOTHES WASHER METAL F�REPLACE/STOVE <br />URINAL �__ FIREPLACE INSERT <br />- DRINKING FOUNTAIN GAS FIREPLACE <br />� FtOOR DRA1N GAS RANOE <br />BACKfLOW PREVENTER OAS PIPWO <br />__ SINK (SERVICFJBAR/AIOPlETC.) _ EXHAUST FAN <br />__ OTHER _ OTTIER�__ <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THI� APLICATION AND KNOW 7HF SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WpRK WILL BE COMPLIED VIIMT WHETHER SPEGFIEO HEREI <br />OR NOT. THE ORANTiNG OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO Vlt)LATE OR G4NCEl THE PROVISqN OF ANY <br />OTHER STATE OR LCGAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE GF CONSTRUCTION. THATIAMAUTMORRED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TME STqTE <br />CONTRACTORS LAW 19.27 RCW ANO 298.200 WAC. <br />Sfgnature of OwneMContrwctorlAuthorized Apent, �, �,��;�„�,v D�t� 09/I8/2007 <br />u�pm <br />