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From <br />11 "'"•/2010 11:16 n`'136 P.002/004 <br />PERMIT APPLICATION 5,6"° <br />�wi��CITY UF EVERETT PERMIT SERVICES <br />,_, 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX i� .- a 9-� � <br />SITF. ADDRESS <br />9F i I 20 AVF SI:, I:VEIiIiI'l', WA 98203 <br />OWNER <br />13NZLOW, )AMES <br />TENANT NAME <br />PARCEL TAX I.[ <br />00852100001900 <br />ADDRESS <br />981 I 20 AVB SG <br />• F,VGR[T'I, �VA )8208 <br />CONTACT NAME <br />Carol Randall <br />CONTRACTOR ADDRESS <br />FAS"I' \VA'fI:R f IEA'PI:R COMPANl' 12G01 132hD AV8 NE <br />KIRKLAND, WA 98034 <br />425-636-7054 <br />PROPOSED USE OF BUILDING Buildinp Mrcheni9a WORK <br />P6RMIT Comhinetion PlumCin <br />Residential TypE Demolition Si9n NPE <br />CONTRACT <br />WORK DESCRIPTION R�����vc/Rcplace Gas 1Vatcr Hcater <br />ET <br />LAVA70RY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNT�41N <br />FLOOR DRAIN <br />BACKFLOW PREYEENTER <br />SiNK (SERVICE/BAR/MOPlETC.) <br />� <br />PERMIT# <br />(i I � L�.�'� <br />PHONE <br />(42S)316-6965 <br />PHONE <br />425-636-7054 <br />CONTR.LICENSE# <br />FF�S"P1V W I-1948BC <br />0 VO4/2012 <br />Alleralion <br />Naw <br />LOCAL SALES TAJC CODEIS 3905 <br />A/C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WA7ER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />------ i -------------------- � ----- � ---------------------- <br />NERE�Y CERTIFY THAT I HAVE READ AND E7(AMINED THIS APLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIEO HERE <br />)R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTl10RIlY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br />)THER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED <br />IY THE OWNER OF THIS PROPERTY TO PERFORAI TNE WORK FOR WHICH APPLICATION IS MADE P.ND I COMPLY WITF1 T HE STATE <br />;ONTRACTORS LAW 16.27 RCW nND 296.200 WAC. <br />ignatur¢ o( Owner/Contractor/Authorizad Agonl � ���b�� '�,,,,/�Qp <br />Date 11/2G/2010 <br />u� on� <br />