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Fram: � 10/^R/2008 15:11 N851 P.002/002 <br /> � <br /> PERMIT APPLICATiON 417320 <br /> rr CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982Q1, 425-257-8810 - <br /> 425-257-8857 FAX �D --7�� <br /> SITE ADDRESS PARCEI TAX I.D.# PERMIT# <br /> 2532 MAPLE ST,EVERET'C,WA 98201 00515957403100 ,n ��� (� _ C � <br /> /"l <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDPESS PHONE <br /> PYLE,VALERIE 2532. ::1PLE ST (206)914-1208 <br /> • &VERETT,WA 98201 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800�454-8955 x 133 <br /> CONTRAGTOR ADDRESS CONTR.LICENSE# <br /> FAS'PWATERIiEATGRCOMPANY 12601132NDAVENE FASTWWH948BC <br /> 800-454-8955 KIRKLAND,WA 98034 Ol/04/2010� <br /> PR�POSED USE OF BUILDING Bw�dtnp htrchanica WORK �d�uon H T SOURCE <br /> PERMIT Combinetlon Plumbinp NtmaBon I�ctrlo <br /> TYPE O�molillon Slpn TYPE Naw aa <br /> Rs aRlMalnt er <br /> CONTRACT PRICE OF WORK �449.00 CITY OF EVERETT L.00AL SALES TAX COUEIS 3105 <br /> WORK DESCRIPTION RemovelReplaceGas WatcrHeater <br /> PLUM8ING MECHANICAL <br /> � O OF U R ITEM <br /> ___ WATER CLOSET A/C-A/HANDLINCi UNITS <br /> ___ BATi1TUB FURCED AIR SYSTEMS <br /> _____ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> _ KITCHEN SINK 3 OISPOSAL �� CLOTHES ORYER <br /> _ DISHWASHER RANGE HOOD <br /> � LAUNDRY TRAY 1 _ WATER HEATER <br /> _ CLOTHES WASHER _� METAL FIREPLACFISTOVE <br /> URINAL _ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN f3AS FIREFUICE <br /> FLOOR DRAIN GAS RAN6E <br /> __ BACKFLOW PREVENTER OAS PIPIN6 <br /> � SINK (SERVICE/BAR/MOPlETC.) _ EXHAUST FAN <br /> —�_ OTHER� — --- OTHER--- —, <br /> 1 HEREBY CERTIFY TW1T I HAVE REAO AND EXAMINBD THIS APLICATON AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WIHT WHETHER SPECIFIED IIEREI <br /> OR NOT.7HE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMIWCE OF CONSTRUCTION.THATI AM AUTHORIZED <br /> BY THE OWNER OF THIS PRQPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW ANU 298.200 WAC. <br /> Stgnature of OwnerlContractor/Authori:�d A�;ont ����,,,��p D�te �Q�Q62008 <br /> UI�CI <br />