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fron: 04/°�/2009 10:43 fl346 P. 002/002 ' �� <br /> 1,� <br /> �... <br /> PEE2MIT APPLICA�'It�N 442799 ;�; <br /> �w��� CITY OF EVERET7 f�ERMIT SERVICES <br /> i <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 �'I <br /> 425-257-8657 FPJC �(`��"� <br /> PARCEL TAX I.D.# PERMIT# ��� <br /> SI7E F�DDRESS f". <br /> v 00449500001100 ' - +` <br /> 2A dC ST SW,EVbRETT,WA 98_03 ��/\ v �( , ,� ,l�� �^' <br /> ;.< <br /> LEGAL LOT NO. BI.00K TRACT �r <br /> � <br /> QWNER ADDRESS PHONE r, <br /> r 28 46 ST 5W (425)252-7702 <br /> RAITOR,llRAD • ��rF��,�r,'A 98203 <br /> TENANT NAM� CONTACT NAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# I <br /> FAST�VATERHEATERCOMPANY 12601132NDAVENE FASTWWI1948IIC <br /> KIl2KLAND, WA 98034 0)/04/2010 <br /> 425-636-7054 <br /> PROP05ED USE OF BUILDING Bulldine Machan�ca WORK Additlan H T SOURCE <br /> PERMIT Camhlnation Plumbing Alleration Eleclrle <br /> TYPE Damolilion Sign TYPE New as <br /> kl r Re airlMa�nt Ihcr <br /> CONTftACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES 7AX CODEIS 3105 <br /> WORK DESCRIPTION Remove/2eplace Gas Watcr Iicater <br /> PL'JMBING - �CHANICAL <br /> NJ. TYPE OF FIXTURE OR ITEM NO. TY E OF FIXTURE OR ITEM <br /> WATER CLOSET _�___ A/C-A/HANDLING UNITS <br /> BATHTUB ____ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) __�_ HEAT PUMP <br /> SHOWER ___ UNIT HEATERS <br /> KITGHEN SINK S DISPOSAL ___ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> IAUNDRY TRAY _ �_ WATER HEATER <br /> � CLOTHES WASHER _� METAL FiREPLACE/STOVE <br /> 11RINAL ____ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE � <br /> —`-- GAS RANGE <br /> BACKFLOWIPREVENTER ___ GASPIPING li <br /> _ ___ SINK (SERVICEIBAR/MOPlETC.) ___ FJ(HAUST FAN I � <br /> OTHER _ OTHER____^_�______ <br /> 1 HERE6Y CERTIFY THI�T I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO 8E TRUE AND COftFtECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPEC�FIEp HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT i AM AUTfiORIZEO <br /> BY THE OIYNER OF THIS PROPERTY TO P��r2FORM THE LVORK FOR WHICH APPLICAl10N IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRAGTORS LAW 18.27 RCW AND 29G.20�WAC. <br /> Signature of OwnedGontractor/Authorizod Agont �.�,,���„�llp �a�@ pq/�0/2009 <br /> u�am <br />