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From: � 03/20/?''^6 14:38 �609 P.002/005 <br />PERMIT APPLICATI�N <br />�;i�CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />D30309 <br />SITE ADDRESS PARCEL TAX I.D.# PEGtM1T# <br />L0130 19 PL W, EVERETT, WA 98204 00710300002100 M d� p'rCj�� <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />GOSHTASEBI, MO 10130 19 PL V✓ (425)347-9354 <br />• EVERETT, WA 98204 <br />TENANTNAME CONTACTNAME PHONE <br />PAMELA HII,L 425 814-31^_4 x133 <br />CONTRACTOR ADDRES$ CONTR.LICENSEi� <br />FASTWA7'ERHEAT'ERCOMPANY 12601132NDAVF,NE <br />FASTW WH948BC <br />(425)814-3124 �LAND• R'A 98034 Ol/03/2008 <br />PROPOSED USE OF BUILDING suiiet�p bNehmla �deluai H T BOURCE <br />PERMIT Combin�tlon Plumbinp �RK NbnYen Nctrfc <br />TYPE �au�n gq� TYPE ►�r �� <br />R� �InMaMI � <br />CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION �move/[teplace Elecuic WaterHeater <br />PLUMBING MECHANICAL <br />OF R OR I EM N. OF k ITE <br />_�_ WATER CLOSET AlGAfHANDLINd UNITS <br />_____ BATHTU6 _�_ FORCED AIR SYSTEMS <br />� LAVATORY (WASH BASIN) _ HFAT PUMP <br />_ SHOWER _^ UNIT HEATERS <br />_�_ KITCHEN SINK 6 DISPOSAL _ CLOTHES DRYER <br />DISHWASHER RANGE HOOD <br />_ LAUNDRY TRAY 1__ WATER NEATER <br />CLOTHES WASHER _� METAI FIREPLACElSTOVE <br />___ URINAL _ FIREPLACE INSERT <br />___ DRINKING FOUNTAIN _ CiAB FIREPLACE <br />FLOOR DRAIN GAS RANCE <br />BACKFLOW PREVENTER GAS PIPING <br />SINK (SERVICEIBARIMOPIETC.) EXHAUST FAN <br />OTHER _ OTHER___ __�__ <br />I HEREBV CERTIFY THAT I HnVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. ALL <br />PROVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS TlPE OF WORK WILL BE COMPIIED WIHT WNETHER SPEClFIED HEREI <br />OR NOT. THE GRANTING OF A PERMR DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR �:ANCEL THE PROVISION OF ANY <br />OTMER STATE OR LOCAL lAW REGUUTING CONSTRUCTION OR THE PERFORIMW CE OF CONSTRUCTION. TNAT t AM AUTNORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICA710N IS MADE AND I COMPLY WfTH TME STATE <br />CONTRACTORS LAW 18.27 RCW AND 298200 WAC. <br />Sipnatum of OwnedContraetorlAuthorizad Apeni ��,�.. �,� — Date <br />`!� 03/202006 <br />ui_n� <br />