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From: �9/O6/2D08 12:41 q561 P.002/002 <br /> PERMIT APPLICATION 4,2°ge <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 /> 28i2RIVERVIGWBLVD,fiVERETT,WA98203 OOL•03700009900 �q/� J �C,' � _GI ' <br /> v � <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER AODRESS PHONE <br /> LUND,CLIPFORD&MARGRLT 28�2 RIVERVIHW IILVD (425)35339R2 <br /> • EVERE7T.WA 98203 <br /> TENA�'T NAME CONTACT NAME PHONE <br /> STONE,KAFtIN Carol Randall 800�154-8955 x 133 <br /> CONTF2ACTOR ADDRESS CONTR.LICENSE# <br /> FASTWATERIIEATERCOMPANY 12601132NDAVENE PASTWWH948BC <br /> 800-454-8955 K[RKLAND,WA 98034 Ol/04/2010 <br /> PROPOSED USE OF BUILDING euna�np �a.cnaniea WORK AddlUon H T SouRCE <br /> PBRMIT Combinatlon PlumOtnp All�ntlon laelAc <br /> TypE O�molillon Slyn T�'PE New aa <br /> Rs IrlMalnt her <br /> CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODElS 3105 <br /> WORK DESCRIPTION. Removc/R_pince L•lecUic Watcr Hcater <br /> �UMBING MECHANICAL <br /> OF' XTU OR ITE TVP OF IXTUR R ITEM <br /> ___ WATER CLOSET `M_ AIC-A/HANDLIN6 UNITS <br /> ___ BATHTUB ��_ FORCED AIR SYSTEMS <br /> _^ !AVATORY(WASH BASIN) _ HEAT PUMP <br /> _ SHOWER _ UNIT HEATERS <br /> _� KITCHEN SINK 6 DISPOSAL ___ CLOTNES DRYER <br /> __ DISHWASHER RANGE MOOD <br /> � LAUNORY TRAY 1 _ WATER HEATER <br /> _ CLOTHE� WASHER __ METAL FIREPLACEISTOVE <br /> _ URINAL _�_ FIREPIACE INSERT <br /> _ DRINKING FOUNTA�N OAS FIREPLACE <br /> FLOOR DRA1N _ GAS RANCiE <br /> _ BACKFLOW PREVENTER _� OAS PIPINO <br /> __ SINK (SERVICFJBAR/MOP/ETC.) ____ EXHAUST FAN <br /> OTHER _ OTHER�___��___., <br /> 1 fiERE9Y CERTIFY THAT I HAVE READ AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED NEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCE�THE PROVISION OF ANY <br /> OTMER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFDRAVWCE OF CONSTRUCTION.TMAT 1 AM AUTHORIZE� <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND�COMPLY WI7H TME STAfE <br /> CONTRACTORS LAW 18.27 RCW AN�298.200 WAC. <br /> Sipnature of OwnerlContractorlAuthorized Agent �y�_�y7u�,,,�p Dete 08/062008 <br /> --- / <br /> u�rn� <br />