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From <br />03/08/�"97 13:05 <br />,--�� PERNIIT APPLICATION <br />G�i��CITY OF EVERETT PERMIT S�RVICE� <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS <br />1 I 126 17 CT 1V, LVERET7', WA 9H2O4 <br />OWNER <br />ROBERSON,FIAROLD <br />TENANTNAME <br />aRCEL TAX I.D.# <br />�0836100000500 <br />ADDRESS <br />1112G 17 CT W <br />rvr:[zE•rr, WA 98204 <br />CONTACTNAME <br />Carol Randall <br />CONTRACTOR ADDRESS <br />FAST \4A1'ER HEATLR COM1fPANY 12601 132ND AVE NC <br />(425)814-3124 K���-AND, WA 9803�1 <br />PROPOSED USE OF BUILDING Buildlnp Meehaniea <br />PERMIT Combination Plumbing WoRK <br />TYPE Damolltion Sipn 1YPE <br />WORK DESCRIPTION <br />E449.00 <br />Remove/Rcplace Gas Water Heater <br />_ WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SFiOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />_ SINK (SERVICE/BAWMOP/E7C,) <br />_ OTHER <br />� <br />tt497 P.UO3/003 <br />361650 <br />3 8-�7 <br />RMIT# <br />�'s - 1% <br />PHONE <br />(425)438-OS50 <br />PHONE <br />II00 425-8I4-8381 x I <br />CONTR.LICENSE# <br />rASTW W H948BC <br />01/03/2008 <br />Addllion HEAT SOURCE <br />Nloration j—jElectric <br />New �Gas <br />OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />� <br />AIC-A/HANDLING UNITS <br />FOf2CE0 AIR SYSTEMS <br />HEA7 PUMP <br />UNIT HEA7ERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WA7ER HEATER <br />METAL FIREPLACE/STOYE <br />FIREPLAc:E INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER_______.��.__ <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS APLICAYION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COPAPLIED WIHT WHETHER SPECIFIED HERE <br />OR NOT. ThIE GRANTING UF q pERh11T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF AtJY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT f AA4 AU'HORIZED <br />BY THE OWNER OF THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br />CONTRACTORS! AW 18.27 RCW AND 296.20C WAC. <br />of OwnedContrectodAuthorized Ageni �-;���_��_G„�,,;, Date � <br />03/08/_007 <br />IUI eqi <br />