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iron: 10/19/2006 11 :26 #319 P.003/003 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 101906 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 101 61 PL SE, EVERETT, WA 98203 00784900002200 <br /> LEGAL LOT NO. BLOCK <br /> TRACT <br /> OWNER ADDRESS <br /> UIiOCK, PAUL.4c ANN MARIE <br /> 101 61 P1. SR PHONE <br /> • EVERE77, WA 98203 (425)353.0226 <br /> TENANT NAME CONTACT NAME <br /> PAMELA HILL PHONE <br /> CONTRACTORADDRESS 425 81.1.3124 x133 <br /> FASTWATER FfEA7ER COMPANY 12601 132ND AVE NE CONTR.LICENSE# <br /> F•ASTIVWH948RC <br /> (425)814.3124 KMLAND, WA 98034 01/03/2008 <br /> PROPOSED USE OF BUILDING Buddmp Macho <br /> Ad Me <br /> PERMIT Combinenon g'urmbinp EK Alteration H T SOURCE <br /> TYPE Demo1111on laclrle <br /> e Now as <br /> CONTRACT PRICE OF WORKEVEr Re elr,Melnt <br /> WORK DESCRIPTION her <br /> $449.00 CITY OF RETT LOCAL SALES TAX CODEIS 3105 <br /> Remove/Replace Gas Wnlcr Hcatcr <br /> BLUMBItik' <br /> N OF URE OR ITE MECHANICAL <br /> WAT PE OFIXTUOR ITE <br /> BATHTUB ---- A/C-A/HANDRE LING UNITS <br /> LAVATORY(WASH BASIN) — FORCED AIR SYSTEMS <br /> -- SHOWER _ HEAT PUMP <br /> —----- KITCHEN SINK & DISPOSAL — UNIT HEATERS <br /> DISHWASHER --__ CLOTHES DRYER <br /> LAUNDRY TRAY - - RANGE HOOD <br /> CLOTHES WASHER -- -- WATER HEATER <br /> URINAL --__ METAL FIREPLACEISTOVE <br /> DRINKING FOUNTAIN --- FIREPLACE INSERT <br /> FLOOR DRAIN — GAS FIREPLACE <br /> —_—__ BACKFLOW PREVENTER — GAS RANGE <br /> SINK (SERVICE/13AR/MOP/ETC,) — OAS PIPING <br /> —_ <br /> OTHER—_.__ --_ EXHAUST FAN <br /> --_ OTHER_— ----------- <br /> 1 HEREBY CERTIcY 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.7HE 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 208.200 WAC. <br /> signature of Owns r/Contractor/Authorl:ed Agent - — <br /> f=��.�g/_c-�" Date 10/192006 <br /> u��a <br />