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Irnn: 04/29/2010 14:03 p963 P.002/002 <br />,- - P�FtMIT APPLI�ATION <br />�wi�CITY OF EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />,,,�� ina ��i.sr. fVi:Rl;ll. WA 9A20R <br />owNeR <br />evirt�. nnuv <br />NAMc <br />CONTRACTOR <br />fAS"I� WATf'.R Ill:i.'fl'.R C<1MPANY <br />p�jQNE a25-838-7054 <br />PROPnSED USE OF BUI <br />Residentiel <br />PARCEL TAX I.1 <br />oo�v�oonooi�oo <br />AODRESS <br />�no to� PI, si: <br />I:VI�.NI.'I'i�, WA 98208 <br />_ I Carol Randall <br />ADDRESS <br />12G01 132N0 AV I; NF. <br />61NkI.�."�U, WA 9A034 <br />PERMIT <br />TYPE <br />GUNTRAGT PRIGE OF WORK bqq9,pQ <br />WORK DEBCRIPTION , <br />Hemove/Repince Gas Wnler Ileater l�. � ��t,^ <br />_ BATHTUB <br />_____ LAVATORY (WASH BASIN) <br />�_� SNOWER <br />_____ KITCHEN SINK 6 DI3POSAL <br />�__. DISHWASMER <br />_,__ LAUNORY TRAV <br />�___ CL07HES WASHER <br />_____ URINAL <br />____ DRINKING FOUNTAIN <br />�___ FLOOR ORAIN <br />____ BACKFLOW PREV£NTER <br />.__� SINK (9ERVICFJBARfMOPfETC,� <br />---- OTHER----------- <br />WORK <br />TYPE <br />,�ktr�.�..- ,�,„1" <br />489882 <br />i.� - (��� <br />PHONE <br />(423)870-2545 <br />PHONE <br />4'�5-836-7054 <br />I'ASl'W W I Ie4NBC <br />OI/0.12U1.'. <br />__.____ FORCED AIR SYSTEMS <br />_____ HEAT PUMP <br />_____ UNIT FIEATERS <br />______ CLOTHFS DRYER <br />____ RANOEHOOD _ kLf'>'> <br />__ I _. WATER HEATEI��" `� <br />�___ METAL FIRFPLACE/STOVE <br />___ FIREPLACE INSERT <br />_ OA8 FIREPLACE <br />GA9RANOE <br />_� GAS PIPINO <br />_�_ EXHAUST FAN <br />----- OTHER_--------�--------- <br />I HERE81 C�RTIFv TIiAT 1 HAVE RE/1D AND E%AMINEO TNIS APLICATIQN AND KNOW TMB 9AME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIg TVpE OF WORK WIIL BE COMPLIEO WINT WHETNER SPEGFIED MERE <br />DR NOT. THE ORANTING OF A PERMIT CJES NUT PRESUME TO OIVE AUTFIORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />�TMER STA7E OR LCX:AL LAW RFOUTATING CONSiRUCT10N UR THE PERFORMANCE OF CON$TRUCTION. TMAT 1AM AUTMORIZFD <br />BY THE C»NNER OF TNIS PROPERTY TO PERFORM TME WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPIV WITM 1HE STATE <br />�ONTRp(.TORS l AW 1tl.77 RCW AND?NF 20D WAC <br />Slpnalun o! Owner/ContnclorlAulhorixed Aganl <br />D�b 04Q9/2010 <br />w .ai <br />