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From: 11l2H/2007 13:41 NB43 P.002/002 <br /> PERMIT APPLICATION 386014 <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> 3?00 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE AdDRESS PARCEL TAX I.D.# PERMIT# <br /> ssoz i nve se,evexe�-r,WA 95203 oo�ssa0000ezoo �l1 G 7 � I -GS 3 <br /> IEGAL LOT NO. BLOCK TRACT <br /> OWNEi2 ADDRE33 PHONE <br /> WAITL,STEVE 5502 1 AVE SE (206)437-4256 <br /> • EVE[ZfiTT,R'A 98203 <br /> TENANTNAME C4NTACTNAME PHONE <br /> Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I�AST WATLRHEATERCOM1IPANY 12601132NDAVENG <br /> PAST W q�Ii948DC <br /> 800-054-8955 KIRK[.AND,WA 98034 O1/032008 <br /> PROPOSED USE OF BUILDING euuaino M�ehmlca aadiuon HEAT SOURCE <br /> PERMIT Cambin■tlon PlumElnp WORK Nuntion El�ctrt� <br /> TYPE Damoiilion 91pn TYPE N�w ac <br /> r r Re eirRdalnl ihor <br /> CONTRACT PRICE OF WORK g449.00 CIN OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIP710N Removc/Replacc Gas�Vater Heater <br /> PLUMBING MECHANICAL <br /> OF IXTU O I E TVpE OF FIXTURE OR I7EM <br /> ____ WATER CLOSET __�_ A1C•A/HANDLIN6 UNIT5 <br /> _____ BATHTUB ____ FORCED AIR SYSTEMS <br /> ___�_ LAVATORY(1NASH BASIN) __,__ HEAT PUMP <br /> _�_ SHOWER _ UNIT HEATERS <br /> ______ KITCHEN SINK & DISPOSAL �_ CLOTFiES DRYER <br /> _____ DISHWASHER _ RANGE HOOD <br /> ____ LAUNORY TRAY � _ WATER HEATER <br /> _`_ CLOTHE3 WASHER __ METAL FIREPLACEfSTOVE <br /> _ URINAL �___ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN pAS FIREPLACE <br /> FLOOR DRAIN �_ GAS RANGE <br /> ____ BACKFLOW PREVENTER 6AS PIPIN6 <br /> __�_ SINK (SERVICE/BAR/MOP/ETC.) _� EXHAUST FAN <br /> _ OTHER _ OTHER__�______�_ , <br /> I HEREBY CERTIFY THAT I FIAVE RE/\D AMD EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL T <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE C061PLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.TME GRANTING OF A PERMIT�OES NOT PRESUM1IE TO GNE AU7HORITY TO VIOLhTE OR CANCEL THE PROVISION OF ANY <br /> OTHBR STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF Tt115 PROPERTY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MAOE AND 1 COMP�_Y WITH TNE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 2�J8200 WAC. <br /> Sipnaturo o(OwnodControctodAuthorlxed Agent �4�o,y7��,��BP Dats 1IR72007 <br /> . J <br /> U1 MI <br />