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MRY-06-2011 13:03 From:4258149516 Paae:4�4 <br /> � <br /> PERMIT APPLICATION 539461 <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX�–�' �I <br /> SITE ADDRESS PARCEL TAX I,D.1� P6RMIT# <br /> 9631 SHARON DR EVERETT,WA 98204 00534100D02400 M ` 1 �� _�t <br /> ' � 7 <br /> LEGAL LOT NO. BLOCK ITRACT <br /> OWNER ADDRESS PHONE <br /> WELLS,LORI 9631 SHARON DR <br /> • EVERETT. WA 98204 (425)265-9201 <br /> TENANT NAME CGNTACT NAME, PHONE <br /> �lA��e. CQS� q25�836-70 <br /> CONTRACTOR ADDRESS CONTf2.LICENSE# <br /> FAST WAT'ER HEATER COMPANY 12601 132ND AVE NE <br /> FASTW WH9ASBC <br /> 425�36-70g� KiRKLANP,WA 98034 DI/04/2012 <br /> PROPOSED USE OF BUILDING ew�e�np M�cha111Ci AddiUon HEAT SOURCE <br /> PERMIT com�Ination Plum�lflp WORK q�qntion DElactric <br /> Reside�tial TypE D�molition sio� T'PE N.W �� <br /> rt kler R� airJMaln her <br /> CONTRACT PRICE OF WORt�; � -- CIiY OF EVERETT LOCqL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTI��N RemovelReplace Electric Water Hcatcr <br /> P UtdBl MECHANICAL <br /> N . TYPE OF FIXTURE OR ITEM N . TYPE OF FIX U E O ITEM <br /> _____ WATER CLOSET A1C-A/HANDLIN6 UNITS <br /> —�___ BA7N7U9 FORCED AIR SY51'EMS <br /> __�__ LAVATORY(VYASH BASIN) !r HEAT PUMP <br /> ______ SHOWER UNIT HEATERS <br /> —�___ KITCMEN SINK 3 DISPOSAL -- CLOTHES DRYER <br /> __r_ DISHWASHER RANGE Fi00D <br /> _�_ LAUNORY TRnY 1 WnTEIt HEATER <br /> �__ CLOTHES WASHER METAL FIREPLACFJSTOVE <br /> __ URINAL FIREPLACE INSERT <br /> ___ ORINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRA1N GAS RqNGE <br /> ______ BACKFLOW PREVENTER GAS PIPING <br /> �_ SINK (SERVICEJBAR/h{OPlETC.) � EXNAUST FAN <br /> _ O7HER <br /> —' _ PTHER_� _____ <br /> I IIEREBY CERTIFY TW1T I HAVE READ ANO EXAMINEO THIS APLICATON AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OI�LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK Wlll BE COMPLIEO WIHT WHETHER SPEGFIED HEREI <br /> OR NOT.THE G;7qNT1NG DF A PERMIT DO[S NOT FRESUME TO GIVE AUTHOltIIY TO VIOlATE OR CANCEI THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUC7iON OR THE 7ERFORlMNCE OF CONSTRUCTION.7HAT1 AM AUTMOf�12ED <br /> BY TH[OWNER OF THIS PROPERIY TO PERFORM THE WORK FOR WHICHACPLICAT70N IS MAOElWD 1 COMP�Y WITH THE STAtE <br /> CONTRACTORS LAW 19.27 RCW AND 296.20D WAC. <br /> S�gnalure ot OwnerlContmctor/Authorized Agent � Date <br /> OS/04/2011 <br /> ��.ai <br />