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From: � 12/(5�2011 11:04 �5�� r.uue�uua <br />PERMIT APPLICATION 565405 <br />��i�CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET,I=VERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRES� PARCEL TAX I.D.p y� PERMIT� <br />6329 SYCAMORE PL, EVE[tL'7"I', WA 98203 00623500005800 ,q,� �� I I�� OnQ <br />'V �� V <br />LEGAL LOT NO. 840CK TRACT <br />OWNER ADDRE33 PHONE <br />MOORE, MARLENS 6329 SYCAMOItE PL (qZ5)353-G807 <br />• EVERETT, WA 98203 <br />TENANTNAME CONTAC7NAME PHONE <br />�i .� ' 425�636-7 <br />CONTRACTOR ADDRESS CONTR.LICENSEA� <br />tAS'1'WATERHEATERCOMPANY 12601132NDAVGNG FASTWWH948[)C <br />KIItKLAND, WA 98034 01/04/2012 <br />425-G36-70yy <br />PROPOSED USE OF BUILDING auuat�v M•cn.nic. nadnton H T SouRCE <br />PERMIT Comblmllon PIumO�np W�RK Al��ratlon ElaeMc <br />Residenlial TypE MmoliUon 81pn TYPE Nnv as <br />R� d�IMalnl her <br />CONTRACT PRICE OF WORK .� CITY OF EVERETT LOCAI SALES TA)( CODEIS 9105 <br />WORK DESCRIPTION Removc/licplacc Electric Water Heatcr <br />PLUMBING MECHANICAL <br />OF TU E I OF i.TU R ITEM <br />_____ WATER CLOSET ______ AIC-A/HANDLIN6 UNITS <br />____ BA7HTU8 _�__ FORCED AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) �___ HEAT PUMP <br />_ SHOWER __ UNIT HEATERS <br />^_ KITCHEN SINK 3 DISPOSAL _ CLOTHES DRYER <br />DISHWASHER _ RANGE HOOD <br />^ LAUNDRY TRAY �__ WATER HEATER <br />�_ CLOTMES WASHER �� METAL FIREPLACE/STOVE <br />� URINAL _____ FIREPLACE INSERT <br />__ DRINKING FOUNTAIN _ OAS FIREPLACE <br />FLOOR ORAIN 6AS RAN(3E <br />___ BACKFLOW PREVENTER __ OAS PIPING <br />�_ SINK (SERVICElBAR/MOPIETC.) ___ EXHAUST FAN <br />--_ OTHER ______ OTHER-----�-��--Y- <br />� HEREBY CERTIFY THAT I HAVE READ AND EXAMINEC THIS APLICATION AND KNOW TNE SAME TO BE TRUE AND COP.iiECT, AlL <br />�'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WMETHER S?ECIFIEO MEREI <br />C>R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AVTHORIiY TO VIOIATE OR CANCEL THE PP.OVISION OF ANY <br />UTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION pR TME PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTMOR12E0 <br />BY iNE OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITM TME STA7E <br />CONTRACTORS LAW 18.27 RCW ANO 296.20U WAC. <br />Sipneture of OwnedControctor/Authorized Apent - Date �ZNS/2011 <br />u� �ni <br />