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From: 09/08/2007 11:b9 NBB6 P.003/003 <br /> PERMIT APPLICATION 378005 <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARC6L TNC I.D.!! PERMITl� <br /> 4732 SEAI IURST AVE,CVLRETT,WA 98203 00505700005307 rn O 7 D�-�I c f <br /> LEGAL LOT NO. BIOCK TRACT <br /> OWNER ADDRE38 PHONE <br /> VOSS,JEROtdB&VALGENA 4732 SEAHURST AVE (q'?5)789•I527 <br /> • EVERETT,WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> IiRG BU 33956 Carol Randall 800�54-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEA� <br /> FAS'I'WATERHEATBRCON�'ANY I2G01132NDAVENE FASTWWEi948➢C <br /> 800�354-8955 KIRKLAND,WA 98034 01/03/2008 <br /> PROP05ED USE OF BUILDING eunainv M«n.n�a woRK Addltlon H T souRCE <br /> PERMIT Comhln�Hon Plumbi N�Kadon NeMo <br /> 1YPE D�moliYon &yn �PE Nwv as <br /> R� tlrlM�Int lh r <br /> CONTRACT PRICE OF WORK $449.00 CITV Of EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas Water Hcater <br /> �MBING MECHANICAL <br /> N . OF ITE F IXTU R ITE <br /> � WATER CLOSET ______ A/C-MHANOLINO UNITS <br /> �_ BATNTU9 _�_ PORCED AIR SYSTEMS <br /> � LAVA70RY (WASH BASIN) _ HEAT PUMP <br /> ____ SHOWER __ UNIT HEATERS <br /> �_ KITCHEN SINK 6 DISPOSAL _ CLOTHES DRVER <br /> _ DISHWASHER _ RANGE HOOD <br /> LAUNORYTRAY _1__ WATERHEATER <br /> �_ CLOTHES WASHER __ METAL FIREPLACEfSTOVE <br /> T URINAL _ FIREPLACE INSERT <br /> DRINKING FOUNTAIN OAS FIREPLACE <br /> FLOOR DRAIN GAS RAN6E <br /> BACKROW PREVENTER _� GAS PIPINCi <br /> _� SINK (SERVICElBAR/MOPIETC.) EXHAUST FAN , <br /> ,__ OTHER OTHER�__ <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS APLICAT104 AND HNOW TNE SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WklET�HER SPECIFIED MEREI <br /> OR NOT.T}1E ORANflNG OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL U�W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AMAUiHORIZED <br /> 8Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WMICH APPLICATION IS MADE AND I CCMAPLY WITN TNE STATE <br /> CONTlIIACTORS LAW 78.27 RCW ANO 298200 WA:. <br /> Slgnetura of OwnedCantnctorlAuthoNzed ApanC ��/}�,�.,�Bp ���0 09/08R007 <br /> U�}/ll <br />