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From: 12/la/ZOD7 14:23 fl367 P. 003/003 <br /> PERMIT APPLICATIOI�! 387920 <br /> �� CITY OF E\/ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET� EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5213 15 AVE, EVERGI'T, WA 98203 2R040100201900 , - <br /> �fY1 �' � I 1 -- C �� <br /> LEGAL LOT NO. BLOCK TRACT <br /> ESC <br /> OWNER ADDRESS PHONE <br /> �oi>rz, r•anrcisco sai3 is nvr � <br /> � 6VERETT, l�'A 98203 (425)252-46_6 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 800-454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# I <br /> rAST WATBR HlA'1'L'R COMPANY 12G01 U2ND AVE NE <br /> PASTW\VH9�38BC <br /> 800-454-8955 KIRI{LAND, WA 98034 01103/2008 I <br /> PROPOSED USE OF BUILDING 9ulldlnp n�eehanlca AddlNon HEAT SOURCE <br /> PERMIT ComhlnnUon PIum6ing WORK q��aralion �Electric <br /> 7YPE Domolilion Sign TYPE ONew as <br /> 85 rl Re etrlMalnt �her <br /> CONTRACT PRICE OF WORK $449.00 CIN OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION gemove/Replace Gas Water Heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. T PE OF FIXTURE OR ITEM <br /> ______ WATER CLOSET _______ A/C-A/HANDLING UNI75 <br /> ___ BATHTUB �__�_ FORCEO AIR SYSTEMS <br /> _____ LAVATORY (WASH BASIN) ___�_ HEAT PUMP <br /> ______ SHOWER ___ UNIT HEATERS <br /> _____ KITCHEN SINK & pISPOSAL ____ CLOTHES ORYER <br /> ___ DISHWASHER _ _ FtANGE HOOD <br /> _____ LAUNDRY TRAY _1 _ WATER HEATER <br /> ____ CLOTHES WASHER ___ METAL FIREPLACE/STOVE <br /> __ URINAL �__ FIREPLACE INSERT <br /> _V_ DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> _ FLOOR ORAIN _`_ GAS RANGE <br /> __`__ BACKFLOW PREVENTER __ GAS PIPING <br /> __ SINK (SERVICEILAR/MOP/ETC.) ___ EXHAU57 FAN <br /> _�_ OTHER __ _ ____ 07HER___ _____ <br /> I —.- — -- -- ---- —���—-__----- <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAM11E TO BE TRUE AND CORRECT.AL� <br /> PROVIS�ONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE DF WORK WILL BE COMPLIEO WIHT WfiETHEP,SPECIFIED HEREI <br /> OR NOT.7HE ORANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL i HE PROVISION OF ANY <br /> OTFiER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY TNE OWN[R OF THIS PROPERTY TO PERFORM THE WORY,FOR WHICH APPLICATION 1S MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW�8.27 RCW AND 29620�WAC. <br /> Signaturu of OwnorlContrector/Authorizod Agont �iL3�f��f��Q� Date ����qn007 <br /> rts�aai <br />