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�rorn: 11/2F/20U7 17:39 N748 P.003/004 <br /> PERMIT APPLICATION 385795 <br /> � _ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201, 425-257-8810 <br /> 425-257-BB57 FAX ii�a6-0 7 <br /> SITE ADDRESS �� PARCEL TAX I.D.# PERMIT# <br /> •107 VF.ItALBNB WAY,tiVERETT, WA 98203 007080D0005700 � ' <br /> �l �i �l i - L- �a�'�. <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> SOYCHAK,RON&DICKCRSON,Glt �07 VG[L'.LHNL'WAY (q�5)232-4616 <br /> • GVERETT,WA 9R203 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAS'I'WATGRkIL'ATBRCOtv1PANY 12601132NDAVENE FAST\1'\VIi948L1C <br /> 800-454-8955 KIRKLANll,WA 98034 O1/03/2008 <br /> PROPOSHD USE OF BUILDING B���ai�o Mothenl�Ca WORK Addltion N� r souacE <br /> PERMIT Combinetlon - Plumhin AllareHon Etecldc <br /> TYPE Oamolilion Sip� TYPE New ac <br /> r Re alrlMaint lhcr <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTIDN Remove/Itephicc lleciric Water Hearer <br /> PLUMBING MECHANI�AL <br /> N . TYPE OF FI%TURE OR ITEM O. TYPE OF F XTURE OR ITEM <br /> _^ WA7ER CLOSET ______ A/C-A/HANDLING UNITS <br /> _____ BATHTU6 _ _ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH B.4SIN) __, HEAT PUMP <br /> _ SHOWER __ UNIT HEATERS <br /> ^_ KITCHEN SINK & DISPOSAL ___ CLOTHES DRYER <br /> ___ DISHWASHER _ RANGE HOQD <br /> ___ IAUNORY TRAY _1� WATER HEATER <br /> __ CLOTHES WASHER _,_ METAL FIREPLACE/STOVE <br /> _ URINAL ____ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> ___ BACKFLOW PREVENTER GAS PIPING <br /> � SINK (SERVICE/BARIMOP/ETC.) ___ EXHAUST FAN <br /> __ O7HER __ _ OTHER_____,_�_______ <br /> 1 HEREBY CERTIFY THAT I HAVE READ�ND EXAMINEO THIS APLICATION ANO KNOW THE SAME TO BE TRUE A40 CORRECT.qLL <br /> PROVISIUNS OF LAWS ANO OROIN�NCES GOVERNING THIS TYPE Of WORK 1VILL BE COMP4IED WIHT WHETHER SPECIFIED t1ERE1 <br /> OR NOT.TNE GRANTING OF A P[FMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL TfiE PROVISION OF AhY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORAIANCE OF CONSTRUCTION,THAT I AMAUTHORiZED <br /> BY THE OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATON IS MAOE AND 1 COMPIY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW/1ND 296.200 WAC. <br /> i <br /> Slgneture of OwnedControetodAuthorizod Agant �y�;��-7��„��p Oate ���ZG/2007 <br /> / ui w:i <br />