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Fron: 03/24I2071 11 :31 n576 P.003/UO3 <br /> P�RMIT APPLI�ATION 530308 <br /> � `� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX 3�. '��.� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMITt� <br /> 582d IU DR �V. LVEKI:1 1', WA 98203 0083G700008000 in/� // �j ��\ <br /> �� � o� <br /> LEGAL L07 NO. BLOCK ITRACT <br /> DESC <br /> OWNER ADDRESS PHONE <br /> 582d 10 DR W ��5 387-1932 <br /> OCAMI'O,C1iONA • I�VGRL"f-1', \VA 98203 � � <br /> TENANT NAME CONTACT NAME PHONE <br /> fi,�l i� C'0.S l�-� 425-636-70 �'`-� <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FASTWATL-RfiGA'I'GRCOMI'ANY 12601132NUAVLNG PASTWM[�I')4�[3C <br /> F:IRIiLAND, WA 95034 01/Od/2012 <br /> 425-636-7054 <br /> PROPOSED USE OF BUILDING Bulldiny Mechanioa WORK Addillon HEAT SOURCE <br /> PBRMIT Comhinetion PlumSin Alteratlon EleetAe <br /> Residential 7YpE Domoiiiion sign TYPE New as <br /> rl er R� ei�lMalnt ther <br /> CON7RACT PRICE OF WORK . � ?� O, --- CITY OF EVERETT LOCAL SALES TN(CODEIS 3105 <br /> WORK DESCRIPTION k������e/Itcplacc Gas�Vater lleater <br /> P�UM8ING MECHAF�ICAL <br /> KO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � WATER CLt75ET _____ A/C-A/HANDLING UNITS <br /> __ BA7HTU6 »__ fORCED AIR SYSTEMS <br /> ___ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> __, SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 8 DISPOSAL _^__ CLOTHES DRYER <br /> OISHWASHER _ _ RANGE HOOD <br /> � LAUNORY TRAY � 1 _ WATER HEATER <br /> _ CLOTHE� WASHER __ METAL FIREPLACE/STOVE <br /> � URINAL ____ FIREPLACE INSERT <br /> ORINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> __ BACKFLOW PREVENTER __ GAS PIPIMG <br /> __ SINK (SERVICEIBAR/MOPlETC.) ,__ EXHAUST FAN <br /> ` OTHER_ _�_ OTHER_�______�___�_.r_ <br /> 1 HERE6Y CERTIFY THAT I HAVE R[AD AND EXAMINED THIS APLICATIOPI ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AN�OR�INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WIIETHER SPECIFIED HEREI <br /> OR NOT.TME GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL ll-IE PROVISION OF ANY <br /> OTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORM/W CE OF CONSTRUCTION.THAT I AMAUTHORIZEO <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WOR�FGR WHICH APPLICATION IS MAOE AND I COMPLY WITH TNE 51'ATE <br /> CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signaturo of OwneNContractor/Authoriznd Agent �y�,�ny���.,s.,(�dF- Date 03/24/2011 <br /> a�om <br />