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fron: 11/17/2009 12:29 tt624 P.002/002 <br /> PERNfiT" APPLICATION 46'°" <br /> ����� CITY C�F EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, INA 98201, 425-257-8810 <br /> A25-257-8857 FAX �`� <br /> 51TE AODRESS PARCEL TAX I.D.# PERMIT# <br /> 57I5 ]2 AVE W#ii,EVLItLTT, WA 98203 008G8101400200 �", <br /> LEGAL LOT NO, eI,OCK �V` f � I - (� �� <br /> DE TRACT <br /> OWNER ADDRESS PHONE <br /> WOHLGBMUTH,ROBERT 5715 12 AVE\V#B <br /> • HVL•1tET"C, WA 98203 (425)231J935 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randail 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FASTWA"PGRf�ILATFRCOMPANY 12G01132NDAVLNI PASTW\VIi948DC <br /> 425-636-7054 KIRKLAND,WA 98034 Ol/04/2010 <br /> PROPOSED USE OF BUILDING ewldinp titoohan�ca addt�ion HE T SOURCE <br /> PERMIT Combination plumbing WORK N�eretlon Electrtc <br /> Residenlial 7ypE Dumoltlion <br /> Slgn TYPE New as <br /> CONTRACT pRICE OF WORK R� airlMain� Iher <br /> 5449.00 CITY OF EVERETT LOCAL SALES 7AX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Remove/Replacc Ges \Vatcr I�Ieater <br /> PLIJMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. OF FIXTURE OR ITEM <br /> —�__ WATER CLOSET A/C-AIHANDLING UNITS <br /> --__ BA7HTU6 ^� FORCEO AIR SYSTEMS <br /> ______ LAVATORY (WASH BASIN) --- <br /> __ SHOWER _ HEAT PUMP <br /> UNIT HEATERS <br /> —_�_ KITCHEN SINK & DISPOSAL CLOTHES DRYER <br /> ____ DISHWASHER RANGE HOOD <br /> _,__ LAUNORY TRqY _I WA7ER HEATER <br /> CLOTHES WASHER METAL FIREPLACElSTOVE <br /> �___ URINAL FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN � GAS FIREPLACE <br /> _ FLOOR ORAIN GAS RANGE <br /> ____ BACKFLOW PREVENTER GAS PIPING <br />' �_ SINK (SERVICEIBAR/MOP/ETC.) � EXHAUST FAN <br /> _�_ OTHERA __ 07HERA______�___ <br /> 1 HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT.ALL <br /> PROViSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT,TFiE GRqNT1NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGUL.ATING CONSTRUCTION OR THE PERFORMAlJCE OF CONSTRUCTIDN.THl1TtAM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERIY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MAOE AND I COMPI,Y WITH THE STATE <br /> CONTRACTORS Ll�W'18.27 RCW qND 298.200 WAC. <br /> Signaturo of OwnedContractodAuthorized Agant �,��� ���QP Da,te <br /> � 11/17/2009 <br /> plp/11 <br />