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Pron: 10/23/2009 10:17 0390 P. 002/002 <br /> PERMIT APPLICATION 462041 <br /> O;L CITY OF EVERETT 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 /> 2528 58 ST SW,BVERETT,WA 98203 008135000(,.400 <br /> LEGAL LOT NO. BLOCK TRACT <br /> E <br /> OWNER ADDRESS PHONE <br /> MYSER,DOUGLAS 2528 58 ST SW <br /> • EVERETT, WA 98203 (888)689-7861 <br /> TENANT NAME CONTACT NAME PHONE <br /> SEE MEMOS PLEASE.DONT MOVE JON Carol Randall 425-636.7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FASTWATER IIEA'rER COMPANY 12601 132ND AVE NL FASTW W11948BC <br /> pHON 425.636-7054 KIRKLAND. WA 98034 01/042010 <br /> PROPOSED USE OF BUILDING jS!nurIfndlknlo0 <br /> Meeh■nica Addillon IHT SouRCE <br /> PERMIT Combinauon Plumbinp WORK Alteration leelrlc <br /> Residential TYPE Demolition Sign TYPE New ae <br /> Re ainMNnt of <br /> CONTRACT PRICE OF WORK $449.00 ICITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas Water licatcr <br /> PLUMBING MECHANICAL <br /> O. TYPE OF FIXTUREITEM NO. TYPE OF FIXTURE <br /> WATER CLOSET __�__ AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT HEATEPS <br /> KITCHEN SINK 6 DISPOSAL CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY _? WATER HEATER <br /> CLOTHES WASHER _� METAL FIREPLACFJSTC,VF <br /> URINAL ___ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICEIBARIMOP/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 HEREI <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 286.200 WAC. <br /> Signature of Ownor/Contractor/Authorized Agent �� � 4e4 ,,,,-edp Data 10232009 <br /> u�wi <br />