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Iran: O6/27i?006 09:41 p446 P.002/UO3 <br /> PERMIT APPLICA7'ION 407"84 <br /> ����� CITY OF EVERETT PERMIT SIERVICES <br /> •_ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 ` ' <br /> 425-257-8857 FA,'( (�—�,_OcY <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 404 B VIGW RIDGE DR,EVBRBTI', WA 98203 0060G400004100 i' � <br /> �� 7 / . i <br /> �1 , A' ': �-�t:� <br /> LEGAL LOT NO. BLOCK TRACT <br /> r <br /> OWNER ADDRESS PHONE <br /> DUTTON,RODtiRT&DOkIS '104 fi VIEW RIDGH D2 <br /> � GVGRETf,WA 9R203 (425)259-4831 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randail 800-054-8955 x 133 <br /> CONTRACTOR ADDRESS � CONTR.LICENSE# <br /> FAST�VA7'GR HHATER COMPANY ]2601 132ND AVL•NE <br /> FAS'1'N W H'?4813C <br /> 800-454-8955 ��LAND,NA 98034 OIi04i2010 <br /> PROPOSED USE OF BUIL�ING Bwldtap Mechan�ca ndd�tion HEAT :sOURCE <br /> PERMIT Combin�llon Plumting WORK � /��eniion ElrcMc <br /> 7YPE Domolillon Slpn NPE New as <br /> R� �IrlMalnt ther <br /> CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3�05 <br /> WORK DESCRIPTION xen,ovc/Rcplacc tilcctric Watcr I�eatcr <br /> pLUMBING MECHANICAL <br /> NO. TYpE OF TU E ITEM NO 1YPE OF FIXTURE OR ITEM <br /> _____ WATER CLOSET _____ q/C-AIHANDLING UNITS <br /> _�__ BATHTUB _____ FORCED AIR SYSTEMS <br /> ____ LAVATORY(WASH BASIN) �__ HEAT PUMP <br /> ___ SHOWER _`_ UNIT HEA7ER5 <br /> _____ KITCHEN SINK $ DISPOSAL _ CLOTHES DRYER <br /> _____ DISHWASHER RANGE HOOD <br /> ______ LAUNDFiYTRAY _�__ WATERkEATER <br /> ____ CLOTHES WASHER ___ METAL FiREPLACE/STOVE <br /> ___ URINAL _`_ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN QAS FIREPIACE <br /> FLUOR DRAIN GAS ftANGE <br /> � __�__ BACKFLOW PREVENTER __ GAS PIPING <br /> __ 51NK (SERVICE/BARIMOP/ETC.) _ EXHAUST FAN <br /> ---- OTHER— ------- OTHER�__ <br /> 'I _---- ------- � � � �-- ---- <br /> 1 HERE01'CGRTIFY THAT I HAVE READ AND EXAMINEP THIS APIICATION AND KNOW THE SAME TO t3E TRUc AND GORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF WORK WILL BE !:OMPLIED WIF1T WFIETHER 5PEqFIED HEREI <br /> OR NOL THE Glb'1NT1NG OF A PERMIT DOES NOT PRESVME TO GIVE AUTIIORITY TO ViOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STAT[OR LOCAL LAW REGULATING CI,NSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> 6Y THE OWNER OF THIS PROPERTY TO PERFORM THE LYORK FOR WHICH APPLICATION IS MAO'e AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW A4D 296.200 WAC. <br /> Sipnaturo of Owner/ContraetorlAuthorizod Agnnt ��q.7�d+���Qp Data <br /> � 0G726/2008 <br /> ui.,oi <br />