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Iron: 04/17/2007 10:28 0968 P.002/002 <br />PERMIT APPLICATION 365357 <br />CITY OF EVERETT PERMIT SERVICES <br />'' 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS TAX I.D.# <br />PERh11T# <br />(PARCEL <br />1523 VIRGINIA AVE, EVERETT, WA 98201 00553631300800�-- <br />LEGAL <br />LQT NO. <br />BLOCK (TRACT <br />ES <br />OWNER <br />ADDRESS <br />PHONE <br />KA V ECKIS, MARY ANN E <br />W/ Bit)! <br />(425)232-5038 <br />TENANT NAME <br />CONTACTNAME <br />PHONE <br />BRG 82NIV522 IN CASE SHE GOES <br />Pamela Hill <br />800-454-8955 x 133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FASCWA'I ER HEATER COMPANY <br />12C01132NDAVENE <br />PASTWNR4948BC <br />KIRKLAND, WA 98034 <br />01.103/2008 <br />PHONE (425)814-3124 <br />PROPOSED USE OF BUILDING <br />PERMITN--�vrinkler <br />Bulldinp Meehanica <br />Combination Plumbing <br />WORK <br />Addition <br />Allorahen <br />HEAT SOURCE <br />[]Electric <br />TYPE <br />Dmolition Sign <br />TYPE <br />New <br />G <br />Re aI'Mialnt <br />Other <br />CONTRACT PRICE OF WORK i449A0 <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace Gas Water Heater <br />PLUMBING MECHANICAL <br />NO, TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />WATER C_.OSET <br />A/C-A/HANDLING UNITS <br />BATHTUB <br />,.,___ <br />FORCED AIR SYSTEMS <br />�_-_-_-_-_-- <br />LAVATORY (WASH BASIN, <br />_____ <br />HEAT PUMP <br />SHOWER <br />___ <br />UNIT HEATERS <br />KITCHEN SINK 8 DISPOSAL <br />____ <br />CLOTHES DRYER <br />DISHWASHER <br />_____ <br />RANGE HOOD <br />LAUNDRY TRAY <br />__I <br />WATER HEATER <br />CLOTHES WASHER <br />___ <br />METAL FIREPLACEISTOVE <br />URINAL <br />_,_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />_ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />13ACKFLOW PREVENTER <br />___ <br />GAS PIPING <br />SINK (SERVICEJBAR/MOP/ETC.) <br />___ <br />EXHAUST FAN <br />----- <br />OTHER <br />OTHER ------ —----- --- ----- — <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORF,ECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W IHT WHETHER S?ECIFIEO HERE( <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PIiOVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPL> WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />Signature of Ownor)Contractor/Authorized Agent �� irfr'-� Date G4/1712007 <br />