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from: 10Jn°/2p09 11 :41 fl237 P.002/002 <br /> P'ERMIT APPLIGATION 461385 <br /> CITY OF EVERETT PERMIT SERVICES <br /> .._, ' 7 3200 CEDAR STREET, EVERETf, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D,# PERMIT# <br /> 10403 10 DR SE,EVL'RE7"P, WA 98208 ` �� <br /> �. � � <br /> LEGAL LOT NO. BLdCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> JACOI3SL'N,BONNIG 10403 10 D2 SE � <br /> I• iVfiRE1`I',�VA 98208 (425)438-0544 <br /> TENANT NAME CONTACT NAME PHONE <br /> TANK BEING DROUGIIT PROM RGNTON Carol Randall 425-636-7054 <br /> CONTRACTOR ADbRESS CONTR.LICENSE# <br /> FASTNATHRiIEATL•RCOMPANY 12601132NDAV8NE PASTWWH9480C <br /> 425-636-7054 Y_1I21iI,AND,WA 98034 O1/04l2010 <br /> PROPOSED USE OF BUILDING ewm�no ntechan�ea Addilion HEAT SOURCE <br /> PERMIT Com6lnat(on Plumbin8 WORK ,�,��entlon �Elactdc <br /> Residential TypE Demotltion g�y� TYPE N��,,, �� <br /> � Ra alrlMelnt ther <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Itepince Bleclric Wnter 1Ieater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI TU E OR ITEM NO, TYPE OF FIXTURE OR ITEM <br /> ____ WATER CLOSET A/C•A/HANDLING UNITS <br /> —___ BATHTUB � FORCED AIR SYSTEMS ' <br /> ____ LAVATORY(WASH BASIN) HEAT PUMP <br /> ___�_ SHpWER UNIT HEATERS <br /> —____ P(ITCHEN SINK & pISPOSAL CLOTHES DRYER <br /> DISHWASHER RANGE HOOD <br /> —____ LAUNDRY TR.4Y � WATER HEATER <br /> _`_ CLOTHES WASHER METAL FIREPLACEISTOVE . <br /> —__ URINA� FIREPIACE INSERT <br /> _ DRINlSING FOUNTAIN ^ GAS FIREPLACE <br /> _ FLOOR DRAIN GAS RANGE <br /> ____ BACKFLOW PREVENTER GAS PIPING <br /> _,_ SINK (SERVICEJBAR/MOP/ETC.) FJ(HAUST FAN <br /> ___ OTHER _ p7HER <br /> 1 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 5PECIFIED HEREI <br /> OR NOT.THE GRANTiNG OF A PERht1T DnES NOT PRESUME TO GIV[AUTHORITY TO VIOLATE OR CANCEL THE PRUVISION OF ANY <br /> OTHER STATE OR IOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT tAM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND i COMPIY WI7H THE STATE <br /> CONTRACTORS LAW 18.27 RCW AN0 298.200 WAC. <br /> Slgnaturo of OwnodContractor/Authurizad Agent ������p pate <br /> 10/OS/2009 <br /> R11 Mll <br />