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APR-29-201? 1c:48 From:4258149516 Paae�2�2 <br /> PrRMIT APPLICATION 539536 <br /> ��i�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDR6SS PAItCEL TAX I.D.# PERMIT# <br /> 9G29 I AVE SG,F;VLRGTT, WA 98208 00450201000902 <br /> �l 1u�1 - v,�i `• <br /> , <br /> LEGAL LOT NO. BI.dCK ITRACT <br /> DE <br /> OWNER ADDR[55 PHONE <br /> MUFLESAN,NGO 9629 I AVE SE (q�j)3]9-301 S <br /> • EVEItE"�"1'. �VA 93?OS <br /> TENANT NAME CONTACT NAME PNONE <br /> �U�i� a,s'� 425-ti36•70`�� <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATBR HGATER COMPANY 12601 132ND AVL•NE FAST�4�VH94SBC <br /> KIRK4AND,�VA 95034 Ot/042012 <br /> 425�36-70� <br /> PROPOSED USE OF BUILDING e��ia��o Mecn�niee WORK Aea�uon H�T souRce <br /> PERMIT Comhlnanon �Plumein Alt6rotion L�Elactnc <br /> Residenlial TypE oamoiiaoo 05�en T�'P� Naw as <br /> S rt klrr Rn elrlMainl ther <br /> CONTRACT PRICE OF WORK �'� -- CITY OF EVERE7T LOCAL SALES TAl(CODEIS 3105 <br /> WORKDESCRIPTION Kemove/ReplaceElecaic�VaterHearer <br /> PLUMo1NG MECHANICAL <br /> N . TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> �_ WATER CLOSET _�__ A/C-A/HANDLING UNITS <br /> __ BATHTUB __„__ FORC[D AIR SYSTEMS <br /> _r LAVATORV (WA5H BASIN) �____ HEAT PUMP <br /> ____ Sf10WER _` UNIT HEATERS <br /> ___ KITCHEN SINK 8 DISPOSAL _�_ CLOTHES DRYER <br /> __ OISHWASHER RANGE HOOD <br /> ___ LAUNDRY TRAV _,,,�_ WATER HEATER <br /> CLOTHES WASHER METAL FIREPU4CEISTOVE <br /> _ URINAL _�_ FIREPIJ�CE �NSERT <br /> 4 DRINKING FOUNTAIN GAS FIREPIACE <br /> FLOOR DRAIN GAS RANGE <br /> � BACKFLOW PREVENTER �� GAS PIPING <br /> ____ SINK (SERVICE/BAR/MOPIETC,) _�_ EXHAUST FAN <br /> _ DTHER ___ OTHER__�__�___ <br /> 1 HERE6Y CERTIFY THAT I HA�E READ ANO EWiM111NED TNIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS nN0 ORDINANC[5 GOVERNING TlIIS TYPE OF WORK WILL 0E COMPLIED WIHT WHETHER SPECIfIED HEREI <br /> OR NOT.17iE GRt�NTNG OF A PERAIIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.Ti1�T 1 AM AUTHURIZED <br /> BY 17iE OWN[R OF THIS PROPER7Y TO PERfORM THE WORK FOR WHICIi APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> CONTRAGTORS LqW 18.27 RCW AND 296.200 WAC. <br /> Signaturo of OwnedControcmr/Aulharimd Agent �� Dato 04/2 820 1 1 <br /> ui o'!I <br />