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From: 02/15/2010 10:57 A768 P. 002/003 <br /> � <br /> PERMlT APPLICA"f10N 480053 <br /> CITY OF EVERETT PERMIT SERVICES <br /> `._ 3200 CEDAR STREET, EVERE�, WA 96201, 425-257-8810 , <br /> 425-257-8857 FAX � �6��G� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1322 RANCIIO PL,8VL•RG'I1',WA 982P1 005525000U2500 <br /> /�� " -, � ��. <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> IiL'It"LOG, PATRICIA �322 RANCtiO PL <br /> • HVEILHTT, WA 98204 (425)353-GG51 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAS'I'WA'PERIIfiA"CGRCOMPANY 12G01132NDAV8NE FASTWWH948IIC <br /> 425-636-7054 K1R1:1_AND,WA y8034 O1/04/2012 <br /> PROPOSED USE OF BUILDING B���d��C M�ehanic� Addillon H T SOURCE <br /> PERMIT ^ Combin�tlon Plumbiny wORK p����o� EI�cMc <br /> Residential TypE D�molilion 8�y� 7YPE N� �� <br /> � R� ddMalN her <br /> CONTRACT PRICE OF WORK S349.00 CITY OF EVERETT LOCqL SAIES TAX CODEIS 7105 <br /> WORK DESCRIPTION <br /> Remove/Aeplace Glectric Watcr Flcater <br /> PLUMBING MECHANIC.�L <br /> TYPE OF FI TU I M O TYPE OF FIXTURF R tTEM <br /> —__ WATER CLOSET A/C•NHANDLING UNITS <br /> --__ BAT'rlTU9 v FORCED AIR SYSTEMS <br /> LAVATORY (WASFi BASIN) --- <br /> -'-"" HEAT PUMP <br /> ___�_ SHOWER UNIT HEATERS <br /> __._�_ KITCHEN SINK 6 DISPOSAL CLOTFIES DRYER <br /> ___ DISHWASHER RANGE HOOD <br /> ____ LAUNORY TRAY �1 WATER HEATER <br /> _�_ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _ URINAL FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN � GAS FIREPLACE <br /> F�OOR DRAIN GAS RANGE <br /> ____ BACKFLOW PREVENTER GAS PIPINO <br /> __ SINK (SERVICE/BAR/MOP/ETC.) EXHAUBT FAN <br /> _�_ OTHER ___ OTHER____�___� <br /> I HEREBY CERTIFY TFWT 1 HAVE RcAD AND E%AMINEO THlS APLICATION AN�KNOW THE SAME 70 BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDIMANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE G W91JTiNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OiHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORhL4NCE OF CONSTRUCTION.THpT I AMAUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MHOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1B.2I RCW AND 296.20D WAC. <br /> Slgnaiuro of OwnadContractmlAulhorized Agent �y w�c�y� �QP Date /� <br /> o1C�V U��is/LO�O <br /> UI wll <br />