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MRR-15-2011 11:30 From:4258149516 Paee:3'3 <br /> ���"- FcRMIT APPLICATION 532920 <br /> � CITY OF EVERETT PERf�IIIT SERVICES <br /> �_. ;3200 CEDAR STREET, EVERETT, WA 98201, �?5-257-Ft810 <br /> 425-257-8Ei57 FAX <br /> SiTE ADDRESS PARCEL TAX I.D,$ PERMITt� <br /> SG30 Id ;iR \1't7P301,L•VE:ZETT. WA 98?03 + <br /> ��� 110 � � �� f <br /> ���A!- LOT NO. BLOCK ITRACT <br /> DES <br /> OWNER ADDRESS PH4NE <br /> VERTHOGVGN, SUM�IY&KEVIN 3040 28 AVE 1V <br /> • SEATTLE,\l�A 98199 (?OG)234-5023 <br /> TENqNT NAME CONTACT NAME PHON6 <br /> ��S�� ��� 425-636-7054 <br /> CONTRACTOR AD�RESS CONTR.LICENSE# <br /> fAST WqTL'K IiC-ATER COP.�PANY 12601 132Nll AVE NF. <br /> FAS'I'W�VH9488C <br /> 4'25•636-7054 KIRKLAND, \VA 98034 01/04/2012 <br /> PROPOSe:� US� Of� BUILDING �oi1diriG Mochanica Additlon HEAT SOURCE <br /> PERMIT Combinallon plumbinp WORK q��oretion �Eleclric <br /> Residential '��E �omolition �Slpn TYPE Now <br /> .,as <br /> CONTRACT PRICE OF�NORK � � Re s�rrNtalnt thcr <br /> 't�.�Q,� CIiY oF EVEREtT LOCqL SALES TAX CODEIS 3105 <br /> WORK DESCRIP710N <br /> Ketnove/Replace Gas Water Heater <br /> P UMBIN MECHANICAL <br /> NQ� TYPE OF FIXTURE OR ITEM NO. lYP[ OF FIXTl1RE OR ITEM <br /> __^_ WATER C'LOSET A/GA/HANDLING 11NITS <br /> —�_ BATHTU(3 � FORCED AIR SYSTEMS <br /> -_____ LAVATO(tY (WASH oASIN) --"— <br /> �_ SHOWER _ HEAT PUMP <br /> —.�___ KITCHEN SINK 6 OISPOSAL --- UNIT HEATERS <br /> —_� DISHWA;�HER _ CLOTHES DRYER <br /> _,� LAUNOR'� Tf2AY -- �NGE HOO;t <br /> ! Wn7ER HFSTER <br /> —.�__ CLOTHE;I WASHER � METAL FIREPLqCFJSTOVE <br /> _____ URINAL � FIR[PLACE INSERT <br /> --_ �RINKIN(� FOUNTAfN ~ GAS FIREPLACE <br /> FLOOR DvZAIN �—' GAS RANGE <br /> .�__ BACK�LCIW PREVENTGR GAS PIPING <br /> �_ SINK (SEIZVICFJBARIMOP/ETC.) �� EXHAUST Fl�N <br /> —�_ 0'.HER_� __^_ OTHER <br /> I HEREBY C[RTIFY TIiAT I HAVE READ ANO EXAMINED THIS APIICATION AND KNOW THE SAME TO OE TRUE AND CORRECT,ALL � <br /> PROVISIONS OF LAWS/1ND ORDINANCES GOV[RNING THIS TVp[OF YJORK\VILL 8E COMPL��D WIHT WHETNER SPECIFIEO M[RFI <br /> OR NOL TNE GR/1NTING OF(�pERM17 UOES NOT PRESU�dG TO GNG AUTHOP,IiY 70 VIOLA7'c UR CANCEL THE PROVISION OF ANY <br /> OiHER S7A7E OR LOC.qL LAW REGULqTING CONSTRUCTION pR TNE PERFORMANCE OF CO�STRUCTION.THAT 1 AM AUTHORIZEO <br /> AY THE OWN[R OF THIS PftOPERIY TO PERFORh1 THE WORK FOR WNICH APPLICATION IS�N+DE AND I COMPLY WI7H TI1E STATE <br /> CONTR/�CTORS LAW 18.27 RCW ANO 296,2pp WqC, <br /> Signaturo of OwnodContlactor/AuthoNzod Agant <br /> �' �7Lc�,z�Qp Dato 03/14/201I <br /> w�,wti <br />