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11/18!nn11 09:20 #347 P.0021002 <br />From <br />PERMIT APPLICATION 553317 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS <br />PARCEL TA.`( I.D.# <br />PERMIT# <br />629 33 S'1', I:VEREI"I', WA 98201 <br />00561901500900 <br />f OL46 <br />LEGAL LOT NO. BLOCK (TRACT <br />DESC. PHONE <br />OWNER ADDRESS <br />629 33 ST (425)308-0846 <br />IIAWKIa',SUSAN I:VHRE'I"f,WA 98201 <br />TENANT NAME <br />CONTACT NAME <br />/�G15 <br />PHONE <br />425�30 70� <br />�1� l — <br />CONTRACTOR <br />ADDRESS — <br />CONTR.LICENSE# <br />FASTWATI-'RHEATERCOMPANY <br />'2601132NDAVENE <br />FASTWW11948BC <br />KIRKLAND, WA 98034 <br />01/04/2012 <br />425-G3G-7M <br />PHONL <br />PROPOSED USE OF BUILDING <br />PERMIT <br />eulldinp Machanlca <br />Combination Plumbing <br />WORK <br />Addition <br />Alteration <br />HEAT SOURCE <br />Electric <br />Residential <br />TYPE <br />Demolition Sign <br />TYPE <br />New <br />MGas <br />Spriahlir <br />Re airlMalnr-jOther <br />CONTRACT PRICE OF WORK <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Kerttoae/Rc lace Gas Water] leater <br />� <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />_----- <br />A1C-AIHANDLING UNITS <br />_ <br />----- — <br />BATHTUB <br />------- <br />FORCED AIR SYSTEMS <br />------- <br />LAVATORY (WASH BASIN) <br />_______ <br />HEAT PUMP <br />SHOWER <br />___ __ <br />UNIT HEATERS <br />_______ <br />KITCHEN SINK & DISPOSAL <br />______ <br />CLOTHES DRYER <br />DISHWASHER <br />____ __ <br />RANGE HOOD <br />LAUNDRY TRAY <br />_ __ <br />WATER HEATER <br />CLOTHES WASHER <br />____ <br />METAL FIREPLACE/STOVE <br />URINAL <br />_^_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />___ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />___ <br />GAS RANGE <br />UACKFLOW PREVENTER <br />____ <br />GAS PIPING <br />___ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />____ <br />EXHAUST FAN <br />OTHER_--- <br />OTHER------------------- <br />( 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 HERE( <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 OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE .AND I COMPLY WITH THE STAT"E <br />CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br />Signature of Owner/Contractor/Authorized Agent <br />Date 11/18/2011 <br />JV w, -�, I <br />