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�rom: 11/26/�007 11:39 p748 P. 004/004 <br /> PERM17' APPLIC�4TION 385676 <br /> ����� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 , 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TNi I.D.# PERMIT# <br /> 10420 10 DR SE,EVERETT, WA 98208 00697000003500 %1,� �// _ C/� <br /> ' f <br /> LEGAL LOT NO, BLOCK ITRACT <br /> DESC. <br /> QWNER ADDRESS PHONE <br /> ROWAN,LUKL 10420 ]0 DRSE <br /> • GVGP�GTT,WA 98208 (425)334-9856 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-454-8955 x 133 <br /> CON'�RACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE <br /> PAST W NH948D C <br /> 800-054-8955 KIItFCLAND, WA 9R034 Gl/03/2008 <br /> PROPOSED USE OF BUILDING Bulldinp �utoehen�ca pddilfon HEAT SOURCE <br /> PEF2MIT Combinatlon Plumbing WORK q��eralion DEl�ctrie <br /> 7YPE Demoti�ion Slgn TYPE Naw as <br /> S rinkl R� alrlMaint �ha� <br /> CONTRACT pRICE OF WORK S449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rctnove/ReplaccGns WaterHcater <br /> PWtdeING M6CHANICAL <br /> TY E OF 1 TURE O ITEM NO. OF FIXTURE OR ITEM <br /> ___.__ WATER CLOSET A/C-A/HANDIING UNITS <br /> ______ BATHTU6 W FORCEO AIR SY5TEMS <br /> __�.___ LAVA?ORY{WASH BASIN) ___ HEAT PUMP <br /> __�_ SHOWER UNIT HEATERS <br /> —_�__ KITCHEN SINK & DISPOSAL CLOTHES DRYER <br /> ___ DISHWASHER ^ RANGE NOOD <br /> _____ LAUNDRY TRAY _1 WATER HEATER <br /> ___ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> ____ URINAL � FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _____ BACKhLOW PREVENTER GAS PIPING <br /> __�_ SINK (SERVICE/BAR/�AOP/ETC.) IXHAUST FAN <br /> ___ OTHER � OTHER______ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMtNED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PP,OVISIONS OF L,4WS AND ORDININCES GGVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THfi GRANiIN6 OF A PERAIIT DOFS 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 CONSTRUCTIUN.THAT I AMAUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATIG�.V IS MADE AND I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 18.27 RC�N AND 296.200 WAC. <br /> Sipnature of OwnedConlractodAuthorizod Agant �, ,��alj���,�,��P Date �I/2G2007 <br /> RSi ani <br />