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Fram: 08/20/2007 14:46 A4B5 P.003/003 <br /> i <br /> PERMIT APPLICATIC�N 376261 <br /> ����� 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 /> 1307 MAPLE ST,EVERETT,WA 98201 00438725900102 Z Q�--�33 <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRE33 PHONE <br /> GRAP�,LARRY 3517 NE 197 ST <br /> � SEATTLE,WA 98155 (206)853•3495 <br /> TENANTNAME CONTACTNAME PHONE <br /> VACANT Carol Randall 000-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEiR <br /> FAST WATGR IIEATER COMPANY 12601 132ND AVE NE <br /> FAST W WH948BC <br /> 800-054-8955 KIRKLAND,WA 98034 Ol/03I1008 <br /> PROPOSED USE OF BUILDING Du11�^o M�eh�nlca aadteton H T SouRCE <br /> PERMIT Combin�Gon Plumbinp WORK IVt�ntlon leetr�e <br /> TYPE D�molition S�p� TYPE N�y 7aa <br /> � R� atrlMaint ther <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERER LOCAL SALES 7Al(CODEIS 3105 <br /> WpRK QESCRIPTION Rcmovc/RepluceGat WuterHeater <br /> PLUMBING MECHANICAL <br /> OF URE O I E OF XTU R ITE <br /> ___ W4TER CLOSET A/C•A/FiANDLINa UNITS <br /> _�__ BATHTUB ^ � FORCED AIR SYSTEMS <br /> __�__ IAVATORY(WASH BASIN} � HEAT PUMP <br /> _�_ SHOWER UNIi HEAT¢RS <br /> _____ KITCHEN SINK d� DISPOSAL CLOTHES DRYER <br /> ____ DISHWASHER � RqNGE NOOD <br /> ,___ LAUNDRY TRAY � 1 WATER HEATER <br /> ____ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> _.__ UItINAL _ FIREPLACE INSERT <br /> ___ ORINKING fOUNTAIN � GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RAN(iE <br /> �__ BACKFLOW PREVENTER OAS pIPIN6 <br /> _� SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> _ OTMER _ OTHER�__�____ <br /> I HERE6Y CERTIFY THAT I HAVE READ AND E%AMINEp THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LA\NS F�N�ORDINANCES GOVERNING TFiIS TYPE OF WORK WILL BE COMPLIEO WIHT�YHETHER SPECIFfED HEREI <br /> OR NOT.TNE GRP.NT7NG OF A PERMIT DOES NOT PRESUME TO 61VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOGAL LAW REGUTATING CONSTRUCTION ORTHE PERFORMANCE OF CONSi'RUCTIDN.THAT IAM AUTHORIZED <br /> BY TME OWNER OF ThIS PROPERTY TO PERFORM THE WORK FOR N'ry1CHAPPLiCAT10N IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 10.27 RCW AND 286.20D WAC. <br /> Sipnatun of OwnerlCorttnctorlAulhorized Apont ���,ry��f�,,,,�BP Date 0820/2007 <br /> J <br /> pl MI <br />