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From: O7/�2/2009 06:35 A148 P.003/003 <br /> ( I <br /> PERMIT APPLICATION 449630 <br /> ����� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX 7 ...a,�-Q <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 3517 25 ST,EVERETT,WA 98201 OOS 16853403002 n �jb, -O� <br /> �� <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> KISON,GARY 3517 25 ST <br /> • EVERETT,WA 98201 (425)259-3517 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAS'C WATER HEATER COMPANY 12601 132ND AVE NE <br /> FASTW WH948BC <br /> 425-636-7054 K[RKLAND,WA 98034 01/04/2010 <br /> PROP05ED USE OF BUILDING ewm�np Maehantea Addilion H T SOURCE <br /> PBRMIT CombinaQon PlumClnp W�RK Altaratlon kc:ric <br /> TY.PE Oamolivan Styn TYPE New as <br /> r R� drlMalnt thet <br /> CONTRACT PRICE OF WORK $349.00 CIN OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Repluco�IecVic Water Heater <br /> UMBI G MECHANICAL <br /> NO. OF FIXTU ITE NO. E OF FIXTUR R ITE <br /> ____ WATER CLOSET ____ A/C•AIHANDLIN6 UNITS <br /> _____ BATHTUB _ FORCED AIR 3YSTEMS <br /> _� LAVAT.ORY(WASH BASIN) � 'HEAT'PUMP <br /> __ SH0INER __ UNIT HEATERS <br /> ______ KITCHEN SINK 6 DISPOSAL ______ CLOTHES DRYER <br /> ___—_ DISHWASHER _ RANGE HOOD <br /> _,__ LAUNORY TRAY � I__ WATER HEATER <br /> ____ CL07HES WASHER _! METAL FIREPLACEISTOVE <br /> _�_ URINAL ___ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> _ FLOOR DRAIN _ GAS RAN(3E <br /> ____ BACKPLOW PREVENTER _� GAS PIPIN6 <br /> __ SINK (SERVICEIBARIMOP/ETC.) _� EXHAUST FAN <br /> _ _ OTHER _ OTHER_____ ___ <br /> I HEREBY CERTIFY THAT I HAV�READ AND EXAMINED THIS APUCATION AND KNOW THE SAMS TO BE TRUE AND CORREC�:qLL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIPI;D HEREI <br /> OR NOT.THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LP,W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTriORIZED <br /> BY THE OWNER OF THIS PROPEkTY TO PERFORM iHE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> CONTF2ACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> Signalure_of Ownor/Contrector/Authorized Agent �,J_����8� Date 07/01/2009 <br /> -- - / <br /> R/.NI <br />