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I? un: <br />10/23/2009 07:30 #380 P.002/002 <br />PERMIT APPLICATION 463511 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />10906 3 DR SE, EVERE-1-T, WA 98208 00761600002900 <br />J <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />YABLIT,EMERSON <br />109063DRSE <br />• EVERI-=, WA 98208 <br />(425)423.0672 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />Carol Randall <br />425-636-7054 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSEax <br />FASI' \VATER HEATER COMPANY <br />12601 132ND AVL' NE <br />FAS7'WW119486C <br />425-636-7054 <br />KIRKLAND, WA 98034 <br />01/04/2010 <br />PROPOSED USE OF BUILDING Building Mechanics Addition H T SOURCE <br />PERMIT Combination Plumbing WORK Alteration Electric <br />REsidential TYPE Demolition sign TYPE New <br />as <br />rl <br />r Re air/Mainl lher <br />CONTRACT PRICE OF WORK S349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Remove/Replace Electric Water Iicatcr <br />PI,UMBINC, MECHANICAL <br />NO. TYPEOF FIXTUREOR ITEM O. TYPE OF FIXTURE R ITEM <br />WATER CLOSET <br />___ A/C-A/HANDLING UNITS <br />BATHTUB <br />_ FORCED AIR SYSTEMS <br />------- LAVATORY (WASH BASIN) <br />SHOWER _ HEAT PUMP <br />_��_ KITCHEN SINK 6 DISPOSAL UNIT HEATERS <br />CLOTHES DRYER <br />____ <br />DISHWASHER RANGE HOOD <br />_ <br />LAUNDRY TRAY I WATER HEATER <br />__ <br />CLOTHES WASHER METAL FIREPLACE/S7OVE <br />_� <br />URINAL _ FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />_ <br />_ GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />OTHER --- EXHAUST FAN <br />__ <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE <br />OF CONSTRUCTION. THAT [AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION <br />IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent . z �c�P Date <br />I0/22/2009 <br />