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From: 12/17/2007 14:44 0607 P.002/002 <br /> PERMIT APPLICATION 388872 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257.8857 FAX <br /> SITE ADDRESS PARCIEL TAX I.D.# PERMIT# <br /> 1020 58 PL SW,EVERETT,WA 98203 00836700007600 JIM '7I.2+ <br /> LEGAL LOT NO. BLOCK TRACT <br /> D - <br /> OWNER ADDRESS PHONE <br /> 1020 58 PL SW (425)349.2094 <br /> OLSEN,S"I'EVEN . EVERETT,WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 800454-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWW11948BC <br /> KIRKLAND,WA 98034 01/03/2008 <br /> PHONE 800454-8955 <br /> PROPOSED USE OF BUILDING Building Mechanlce WORKNAAjdt:rU4oln H T SOURCE <br /> PERMIT Combination Plumbing tlon leelrlc <br /> TYPE Demolition Sign TYPE New Most <br /> Siarinkler Ra alrtmalnt I r <br /> CONTRACT PRICE OF WORK $449.00 ICITY OF EVERETT LOCAL SALES TAX CODEiS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas Water Hcater <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIXTUREOR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET _____ AIC-AIHANDLING UNITS <br /> BATHTUB ___—_ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) --_ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK S.DISPOSAL CLOTHES DRYER <br /> DISHWASHER —__ RANGE HOOD <br /> LAUNDRY TRAY _1__ WATER HEATER <br /> CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> URINAL —_—_ FIREPLACE INSERT <br /> DRINKING FOUNTAIN OAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER —!_ GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) —,_ EXHAUST FAN <br /> OTHER„— --- _ OTHER-------------- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREIN <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION,THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> Signature of Owner/Contractor/Authorized Agent zeov" ZcBp Date 12/27/2007 <br /> m!ai <br />