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Fron: O6/16�?008 07:56 q160 P.003/007 <br />PERMIT APPLICATION 4°6'S° <br />CITY OF EVERETT PERMIT SERVICES <br />._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 / <br />425-257-8857FAX (��-�7--�� <br />SITE ADDRES5 PARCEL TAX I.D.# PERMIT# <br />152G MUKILTEO DLVD, EVERGTT, �VA 95203 00549400100700 /�/� (r�� G <br />/ ✓ <br />LEGAL LOT NO. BLOCK ITRACT <br />OWNER ADDRESS PHONE <br />TAYL02, RENATE 152G MUKiLTEO BLVD (qZ5)252-56I 1 <br />• EVHRSTT, NA 98203 <br />TENANTNAME CONTACTNAME PHQNE <br />Carol Randall 800-454-8955 x 133 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />FAST NATER HEATGR COMPANY 12601 132ND AVE NE PASTW WH9h8IIC <br />qNE 800-454-8955 KIRKLAND, WA 95034 O1/042010 <br />PROPOSED USE OF BUILDING ew�dtnp M�ch�nlQa WORK Add�tion H T SOURCE <br />PERMIT Combinallon Plumhln Allerotlon El�ctrie <br />TYPE DamoliUon Slyn TYPE New as <br />R� sIrAHNnI <her <br />CONTRACT PRICE OF WORK $qq9.OD CITY OF EVERETT LOCAL SALES TAX CODEIS 3�05 <br />WORK DESCRIPTIO�� Remove/Replace Gas Nnter Heater <br />PLUMBING MECHANICAL <br />TYPE OF IXTU E OR ITEM O E OF FIXTUR�? OR ITEM <br />__._ WATER CLOSE7 ___ A/C•AIHANOLING UNITS <br />__ BATHTUB ____ FORCED AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) _ HEAT PUMP <br />� SHOWER UNIT HEATERS <br />___ KITCHEN SINK 8 OISPOSAL _,_ CLOTHES DRYER <br />,_ DISHWASHER RANGE HOOD <br />___ LAUNpRY TRAY �1__ WATER HEATER <br />___ CLOTHES WASHER METAL FIREPLACE/STOVE <br />� URINAL �__ FIREPLAC� INSERT <br />� DRINKING FOUNTA�N GAS FIREPLACE <br />� FLOOR DRAIN _ GAS RANOE <br />____ BACKFLOW PREYENTER GAS PIPING <br />__ SINK (SERVICFJBARIMOP/ETC.) _� EXHAUST FAN <br />___ OTHER_ ____ OTHi:R___ �___ <br />i HEREBY C[RT1FY THAT I HAVE READ AND EXAMINEO THIS APLICATION AND KNOW TNE SAA1E Tli BE TRUE AND CORRECT.ALL <br />PROVISIONS OF LAWS AND ORDINANCES GpVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT f�,iESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGl1LATING CON ;7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTHORIZEO <br />BY THE OWNER OF THIS PROPERTY 70 PC-RFGRM THE WORK FOR WHICHAPPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. �� <br />Sfpneture of OwnarlContraetorlAuthorizad Agont �I_���,�,yP Date 06/I6/2008 <br />_�. � <br />u� �ni <br />