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From <br />04/7'i2009 15:18 p2�5 P.002/003 <br />PERMtT APPLICATION 44'i700 <br />r CITY O� EVERE,TT PERMIT SERVICES <br />._ . 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />t25-257-3857 FAX y.. � /�-09 <br />SITE ADDRESS PARCEI_ TAX I.D.# PcRMIT# <br />10605 NW 20 PL �1�. EVERETT, WA 95204 00791200000100 J� ,,� � �, L� l/_`�-'��]� <br />1� t � <br />OWNER <br />DGLROSAR!O,EVELYN <br />NAMF <br />ADDRESS <br />I OGOS A\V 20 PL W <br />� EVLEtl:1'C, NA 98204 <br />�(CONTACT NAME <br />I Carol Randall <br />CONTRACTQR IADORESS <br />FAST WATER Li6ATER COMi'ANY 12G01 132Nll AVE NE <br />KIRKI.AND, WA 9803A <br />425-636-7054 <br />FROPUS:D USE OF BUI <br />PRICE OF WORK g349.00 <br />WORK DESCRIPTION �temove/Replace Llecvia �Vater Ilcatcr <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLO'fHES WASHER <br />URiNAL <br />DRINKING FDUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE�2 <br />SINK (SERVICFJBAR/M'�iP/ETCJ <br />DTMER _ <br />OF <br />1 <br />rrPE <br />PHOr1E <br />(425)3481i 177 <br />PHONE <br />425-636-7054 <br />CONTR.LICENSE# <br />FASTWNH9486C <br />01/04/20 ] 0 <br />CODEIS 3105 <br />A1C-AIHANDLING UNITS <br />PORCEO AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES �RYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACElSTOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER-----------� <br />HERE�Y CERTIFY TFiqT I HAVE READ AN:1 F.JCAMINcD THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />'ROVISIONS OF LAWS AND ORDINANCES CGOVERNING THIS iYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HERE <br />)R NOT. THE GRANTI�G OF A PERF11 "�)OES NOT PRESUM[ TO GIVE AUTfiORITY TO VIOLA7E OR C.4NCEL THE PROVISION OF ANY <br />)THER STATE OR LOCAL LAW REGULATING CONSTRl1C710N OR THE PERFORMANCE OF CONSTRUCTIDN. THATI AM AUTHOfiRED <br />{Y THE OWNER Of THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />:ONTRACTORS LAW 19.27 RCW AND 298.200 WAC. <br />naturu of OwnadContractodAuthorizod Apent <br />Date Q,y��l/2009 <br />ui oni <br />� <br />