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From: 10/30/2006 13:31 A561 P.002/003 <br />l <br />,--- PERNlIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />..._ 3200 CEDAR STREET, EVERETT, WA y8201, �125-257-8810 <br />103006 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />2422 55 S'L' SW, EVrRETT, WA 98203 00813500006500 I/� �I J�� l� <br />LEGAL LOT NO. BLOCK TRACT <br />DE <br />OWNER ADDRESS PHONE <br />HANSON, JOHN 2422 55 ST SW (425)349-2030 <br />• EVLRETT, WA 98203 <br />TENANT NAME CONTACT PIAME � PHONE <br />PAMCLA H1LL 425 8143124 x133 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />1'AS'1' WATER iIEA'I'ER COMPANY 12601 132ND AVE NE FASTW WH948BC <br />(425)814-3124 KIRKLAND, WA 98034 Ol/03/2008 <br />PROPOSED USE dF BUILDING �ui�alnp Macnsn�ea pdd�tion HEAT SOURCE <br />PERMIT CombinalG n Plumbinp W�� Altar�8on Electric <br />1YPE D�mollllon g�g� TYPE New Gas <br />r Re nirlMalnt thar <br />CONTRACT PRICE OF WORK $q49.00 CITY OF EVERETT LOCAL SALES TNf CODEIS 3'105 <br />WORK DESCRIPTION Rcmove/Replace Gas Water Hea[er <br />PLUMBING MECHANICAL <br />NO. TYPE OF FI TURE OR I EM O TYPE OF FIXTU R ITEM <br />_____ WATER CLOSE7 _______ A/C-A/HANDLIN6 UNITS <br />_____ BATHTUB ��_ FORCED AIR SYSTEMS <br />_______ LAVATORY (WASH BASIN) HEAT PUMP <br />____ SHOWER ____ UNIT HEATERS <br />____ KITCNEN SINK 8 DISPOSAL _T�_ CLOTHES DRYER <br />_____ DISHWASHER __ RANGE.HOOD <br />_______ LAUNDRY TRAY __�__ WATER�FIEATER <br />____ CLOTHES WASHER ___ METAL FIREPLACE/STOVE <br />___ URINAL �__ FIREPLACE INSERT <br />____ DRINKING FOUNTAIN ___ 6AS FIREPLACE <br />_� FLOOR DRAIN _�_ GAS RAN6[ <br />______ BACKF�OW PREVENTER __ (3A3 PIPING <br />_____ SINK �SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br />___ OTHER _ _ 07HER_��__�______ <br />t HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APLICATION AND KNOW 7HE SAME TO BE TRUE AN'] CORREC7, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPl1ED WIHT WHETHER SPECIFIED MEREI <br />OR NOT. TFiE 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 OF CONSTRUCTION. THAT I AMAUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH1CH APPLICATION IS MHDE AND I COMPLY WI7H TFIE SiATE <br />CONTRACTORS LAW 18.27 RCW AND 288.200 WAC. <br />Signatura of OwnedContreetar/Aulhorized Ageni �•�-�� ��� �.r;�-� Date �0/30Y2006 <br />UI �R� <br />