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From: 12/07/20D7 14:00 p127 P.002/003 <br /> PERMIT APPLICATION 386694 <br /> �1��� 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 /> 1401 ROCKBFELLER AVE,EVERETT,WA 95201 29051700301700 1 V`C�� I �-C�/7 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> TIiOMAS,MARNIE I401 ROCKEFELLER AVH (425)258J232 <br /> • GV8RLT1', WA 98201 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-454-8955 x 13_ <br /> CONTRACTOR ADDRESS C04TR.LICENSE� <br /> FAS7'WATER HEATHit COMPANY 12GO1 132ND AVBNG FASTWWH948BC <br /> KIItKLAND,WA 98034 Ol/03l2008 <br /> 800�54$955 <br /> PROPOSED USE OF BUILDING em�a�no M�en■mc� WORK �d1G� H T souRCE <br /> PERMIT Comb:napon PIum6lnp Altmtlon El�ctrlc <br /> TYPE DamollUon Sipn TYPE �y �� <br /> R� �IdMalnt thar <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LnCAL SALES TAX CODEIS �105 <br /> WORK DESCRIPTION RcmoveBeplacc Gas Watcr Heatcr <br /> MBI ' MECHANICAL <br /> NO. OF U E OR ITE O OF XTU R ITEM <br /> _____ WATER CLOSET ____ qIC•A/HANDLINO UNITS <br /> __� BATHTU9 _!_ FORCED AIR SYSTEMS <br /> _____ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> __ SHOWER ___ UNIT HEATERS <br /> __�__ KITCHEN SINK 6 DISPOSAL _ CLOTNES ORYER <br /> ____ DISHWASHER _ RANGE HOOD <br /> _ LAUN�RY TRAY i _ WATER HEATER <br /> ____ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> _ URINAL _ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RAN6E <br /> ___ BACKFLOW PREVENTER __ OAS PIPIN6 <br /> _� SINK (SERVICEIBARfMOP/ETC.) ___ EXHAUST FAN <br /> __ OTHER_ _ OTHER�_�_�____� <br /> I HEREBY CERTIFY THAT I HAVE REl�D AND EXAMINE�THIS AALICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF IAWS nND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WMETHER SPECIFIEO HEREI <br /> OR NOT.THE GRANIING OF�PERMIT DOES NOT PRESUME TO�NE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR TNE PERPORMANCE OF CONSTRUCTION.THATI AM AUTHORIZED <br /> BY T}1E OWNER OF TriIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTP.ACTORS LAW 18,27 RCW ANO 296.200 WAC. <br /> Sipnalure of OwnoqContnctorlAuthorixed Agunt �,��yib7l��,���p Dete �y07/2007 <br /> f <br /> �ul e2� <br />