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From: 04/11/2008 13:56 �596 P.002/002 <br />PERMIT APPLICATION 399919 <br />�����CITY OF EVERETT PERMIT SERVICES <br />.._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 /' <br />425-257-885% FAX '7 "���- 0� <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />8210 SPOKANE DR f1202, EVERETT, WA 98203 OU8597U0220200 (�^ �� -�y,� <br />1"\ <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRE33 PHONE <br />S'CACH, KENNETH 8210 SPOKANE DR it202 (q25)347•4015 <br />• EVEkETT, WA 98203 <br />TENANT NAME CONTACT NAME PHONE <br />Carol Randail 800-454-8955 x 133 <br />CONTRACTOR ADDRESS CONTR.LICENS�� <br />PAST WATER HEATfiR COMPANY 12601 132ND AVE NE FASTWNH948BC <br />800-454-8955 u�-AND, WA 98034 Ol/04l2010 <br />PROPOSED USE OF BUILDING Bulldlnp M�ehs�Ica WORK �d111O" H T S uRCE <br />PERMIT Com6ln�don Plumhlnp Nlar�6on Neldc <br />7YPE Mmolllbn Slpn TYPE ►Nw aa <br />r R� �IrlMaIM : lher <br />CONTRACT PRICE OF WORK Sq•19.00 CITY OF EVERETT LOCAL SALES � Ar( CODEIS 7105 <br />WORK DESCRIPTION Remove/Rcplace Gas Water Iieatcr <br />PWMBING MECHANICAL <br />TYPE OF FIXTU I E OF XTU R ITE <br />______ WATER CLOSET ,____ A1C-AIHANDLING UNITS <br />___ BATNTUB ,_�_ FORCED AIR SYSTEMS <br />_, LAVATORY (WASM BASIN) _____ HEAT PUMP <br />__ SHOWER ___ UNIT HEATERS <br />___ 1CITCHEN SINK 6 DISPOSAL ____ CLOTHE3 DRYER <br />__ DISHWASHER RANGE HOOD <br />_^ LAUNORY TRAY ��__ WATER HEATER <br />! CLOTHE3 WASHER ___ METAL FIREPLACElSTOVE <br />__ URINAL �__ FIREPLACE INSERT <br />_ DRINKING FOUNTAIN OAS FIREPLACE <br />FLOOR ORAIN _ GAS RAN6E <br />_ BACKFLOW PREVENTER 6AS pIPINO <br />__ SINK (SERVICE/BAR/MOPlETC.) �! EXHAUST FAN <br />--- OTHER -- - OTHER------------------- <br />I HERE�Y C[RTIFY THAT I HAVE READ AND EXAMINEO THIS APLICATION AN� KNOW TH[ SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPEGFIED HEREI <br />OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANV <br />OTNER STATE OR LOCAL I.n\N REGULATING CONSTRUCTION OR THE PERPORMHNCE OF CONSTRUCTION. THAT IAMAUTHORIZED <br />BY THE OWNGR OF TI115 PROPERTY TO PERFORM THE WORK FOft NMICH APPLICATION IS MADE AND I COMPIY WITN TME STATE <br />CONTRACTORS LA1M 18.27 RCW AN� 296.2J0 WAC, <br />Sipnature of OwnertContraetorlAuthorized Agnnt �,,,,�r�uf�,,,�.tBp Dete 04�� ��ZoOft <br />. / <br />U� �/ll <br />