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Sent By: HP LaserJet 3700; 4258249516; Jul-2�-Ofi 1 :18Pl.1� Page 4/4 <br /> ��i�- PcRMIT APPLiCATIuN 1 <br /> CITY QF EVERETT PER�AIT SERVICES <br /> 3200 CEDAR STREET, EVERETI', WA 98201, 425-257-8810 <br /> U7�606 <br /> SITE ApDRESS PARCEL TA}; I.D.# PERMIT# <br /> 6302 2 UIL SL•',EV[RETT, WA 93203 OQ7S49UOU0:iU0 i r - -� <br /> 1 / 4��'�� ' ��1� <br /> LEGAL LOT NO. BLOCK 7RACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> ROBINSON,JAMES 6302 2 UK S�: � <br /> • E•VL•RG�I"I', WA 98203 (QZS)-90-9J19 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAME�.A HIL L 425 514-3124 n13S <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST N'ATI:R HC•A'I'h:R COMPANI' 126111 132N1)AVI?NF. FAST\VWH94RBC <br /> (42$)614.712J KIRKLAND, \4'A 93034 OIiU3/2008 <br /> PROP05ED USE OF BUILDING Bu11d1no • Macn,niu Addltion H T SOURCE <br /> PERMIT Cvm6ln�tlon Plumbinp WORK Nuntlon Eleetric <br /> IYPE Mmolilion 9ian N�'E N�w Gac <br /> R� alrlMa101 Othar <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX COOEIS a�05 <br /> WORK DESCRIPTION kcmovc/Replace G�s W'atcr Heuter <br /> PLUM I�N6 faECHANICAL <br /> NO. TYPE OF FIXTU E oR I7EM t10. TYPE OF FIXTURE OR ITEM <br /> ___ WATER CLOSET _____ A/C•lUMANDLING UNITS <br /> ,___ 6ATMTU9 _______ PORCED AIR SYSTEMS <br /> _____ �AVATORY (WASH BA51N) .______ HEAT PUMP <br /> ___„ SHOWER _____ UNIT f1EATERS <br /> __ KITCHEN SINK 6 DISPOSAL _______ CLOTHES DRYER <br /> ____ DISHWASHER __ _ RANGE 1100D <br /> _____ LAUNDRY TRAY ___I__ WATER HEqTER <br /> �__ CLOTHES WASHER ______ METAL FIREPLACE/STOVE <br /> �__ U121NAL _____ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN ______ GAS FIREPUCE <br /> __ FLOOR DRAiN ___�_ GAS RANf3E <br /> ____ BACKFLOW PREVENTER __� GAS PIPING <br /> �_ SINK (SERVICEJBAR/MOPlEiC.) __,_ EXHAUST FAN <br /> —�_ OTNER� --- OTHER__--------"-------^-^ <br /> 1 NEREBY CERTIFY THAT I HAVE RE�D AND EXAMINED THIS APLICATION AN:)KNOW THG SAM[TO BE TRUE AND COliRECT All <br /> pROVISIONS OF LAWS ANO URDINANCES GOVERNING THIS T'PE OF K'ORI:WILL 8E GOMPLIEO WIHT WHETMER SPECIFIEO HEREI <br /> OR NOT. THE GRANiING OF A PERMIT DOES NOT PRESUME TO G WE AUTNC•RITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> pTHER STATG OR IOCA�I..AW REGULnTING CONSTRUCTION OR THE PERF�)RMANCE OF CONSTRVCTION.1'HAT I AM AUTtiORIZF.� <br /> BY THE OWNER OF THIS PROPERTY TO pERFORM THE WORK FOR WhiICH•1PPLICATION IS MHOE ANO 1 COMPLy WITN THE STATE <br /> CONTRACiORS�AW 18.27 RCW AND 29B.20D WAC. <br /> Slpnature o(OwnedCoat�aelorlAuthorizetl Agent . , �_� �. �� ���� U7/262W6 <br /> J..- .. ,. .- . <br /> u���� <br />