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fron: 06/16�'008 Oi:57 ft160 P. 007/007 <br /> pERMIT �ePPLICATION 404135 <br /> (,� CITY OF EVERETT PERMIT SERVtCES <br /> Fw`y�"" 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX ( ��7 --C"�� <br /> 51TE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5G'_0 14 DR W#205, EVHRBTP, WA 98203 00847701720500 - <br /> /���C%�::� -'?S�: <br /> LEGAL LOT NO. BLOCK ITc'�ACT <br /> D�• — <br /> OWNER ADDRESS PHONE <br /> EATON, SAIIRINA 5620 14 DR W N205 (q�5)�144-1967 <br /> • EVERETT, VVA 98203 <br /> TENANTNAME CONTACTNAME PHONE <br /> 24"B4 BEND Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAS7'WATGR F16A'fER COMPANY 13601 132ND AVE NB ppSTV✓\VH948BC <br /> KI1tICLAND,WA 98034 01/04/2010 <br /> B00-454-8955 <br /> PROPOSED USE C/F BUILDING ewminfl Machanica _ Addillon HEAT SOURCE <br /> PERMIT Combinotlon Plumhina WORK q��oration Electrie <br /> TyPE DemollUon sign TYPE New as <br /> r Re alr/Malnt ther <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES 7AX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Repincc Gas Water Ileater <br /> PLU�dBING MECHANICAL <br /> NO. TY E OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � __ WATER CLOSET __�_ AIGAINANDLING UNITS <br /> ,__ BATHTUB ____ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) ___ HEAT PUMP <br /> �_ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK $ DISPOSAL ____ CLOTHES DRYER <br /> ___ OISHWASHER _ _ RANGE HOOD <br /> LAUNpRY TRAY �� WATER HEATER <br /> __ CLOTHES WASHER _�_ METAL FIREPLACE/STOVE <br /> __ t1RINAL ____ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR ORAIN GAS RANGE <br /> __ BACKFLOW PREVENTER ___ GAS PIPING <br /> ___ SINK (SER4ICEIBARIMQP/ETCJ _�_ EXHAUST FAN <br /> -- – <br /> __,___ OTHER ____ OTHER________ <br /> I MEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS APLICATIQN AND KNOW THE SAME TO BE TRUE A4D CORRECT.AL� <br /> PROVISIONS OF LAWS A4D ORDI�ANCES COVERNING THIS 7YPE OF WORK WILL BE CONPLIEO�V�HT WHETHER SPECIFIED HLREI <br /> OR NOT.THE GRANTING OF A PER611T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFURMANCE OF CONSTRUCTION.THAT I A61 AUTHORI2E0 <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICFI APPLICATI04 IS MAOE AND I COMPLY WITH THE S7ATE <br /> CONTRACTORS LAW 18.27 RCW ANO 2°6.200 WAC. <br /> Signaturo of OwnedContracrorlAuthorizod Agont �,,;�fj?Lc�,.,,,,�pllp fle�e p6/16/2008 <br /> J <br /> a�axi <br />