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F rom <br />SITE ADDRESS <br />09/261.2011 09:55 x697 P.0031003 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FrVC <br />437 V15TA 'L, GVGRETT', WA 98203 <br />OWNER <br />PATCIIET7', LORRf:N & llCt3 <br />FAST WA7'HR FIEATER COMPANY <br />�ue 425-636•i <br />IPOSED USE <br />Residential <br />PARCEL TAX I.D.# <br />00619u00000100 <br />BLOCK <br />�ESS <br />l �I;�QI <br />�r�-�}, wfl- q8ao <br />CONTACT NA E <br />CQS <br />lESS <br />12601 132ND AVE NG <br />KIRKLAND, WA 98034 <br />DESCRIPTION Remove/Replace Electric Water Heater <br />LAVATORY (WASN BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICF18AR1MOP/ETC.) <br />OTHER_ <br />� <br />556794 <br />PERMIT� <br />�` O - � <br />RACT <br />PHONE <br />(425)259•0739 <br />PHONE <br />425-636-70$� <br />CONTR.LICENSE# <br />FAST W W f I948I3C <br />O1/04/2012 <br />WORK Aaditlon HF.�►T SOURCE <br />Nl�ntlon �7CJENelric <br />TYPE N.W i--rc.. <br />NC-A/HANDLIN6 UNITS <br />FORCED AIR SYSTEMS <br />MEAT PUMP <br />UNIT HEATERS <br />CLOTNES DRYER <br />RANGEHOOD <br />WA7ER HFJITER <br />METAL FIREPLACEfSTOVE <br />FIRtPIACE INSERT <br />OAS FIREPLACE <br />GAS RANG! <br />OAS PIPIN6 <br />EXHAUST FAN <br />OTHER___�____�__�_T <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />)R NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO 6NE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />)THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />IY THE OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WMICH APPLICATION IS MAOE hND I COMPLY WITH THE STATE <br />:ONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />of OwnerlContnctor/Authorized Ap�nt <br />D�te 09R6l2011 <br />u� w� <br />