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h nn: 04/04/7007 13:04 4479 P.002/006 PERMIT APPLICATION 364235 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 SITE ADDRESS PARCEL TAX I.D.# PERMIT# 205 76 ST SE,EVERET"r,WA 98203 00392000001502 LEGAL LOT NO. BLOCK TRACT DE OWI: 4 ADDRESS PHONE HAI ROBERT 205 76 ST Sr EVERETT, WA 98203 (425)290.3823 TENANT NAME CONTACT NAME PHONE Carol Randall 800 425.814-8381 x I CONTRACTOR ADDRESS CONTR.LICENSE# FAS r WATER I(EATER COMPANY 11,601 132ND AVE NE FASTWWI1948BC pHONE (425)814.3124 KIRKLAND, WA 98034 01/03/2008 PROPOSED USE OF BUILDING Building Mechanics Addition H T SOURCE PERMIT Combination ' Plumbing WORK Alteration Electric TYPE Demollllon Sign TYPE Now as r k r Re air/Mainl ther CONTRACT PRICE OF WORK $349.00 CITY OF EVE7EI I LOCAL SALES TAX CODEIS 3105 WORK DESCRIPTION Remove/Replace Electric Water Ileater PLUMBING O, 1 TYPE OF FIXTURE ORIE TYPE OF XTU RITE W THTTER CLOSET A/C-A/HANDLING UNITS BATHTUB T _______ LAVATORY(WASH BASIN) FORCED AIR SYSEMS SHOWER - HEAT PUMP KITCHEN SINK &DISPOSAL — UNIT HEATERS DISHWASHER ---- CLOTHES DRYER --___ LAUNDRY TRAY -^ - RANGE HOOD _ WATER HEATER CLOTHES WASHER METAL FIREPLACEISTOVE --_ URINAL DRINKING FOUNTAIN FIREPLACE INSERT — FLOOR DRAIN GAS FIREPLACE —_ GAS RANGE —_—__ BACKFLOW PREVENTER _ GAS PIPING SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN LERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY TE OR LOCAL LAv, REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED NER OF TMS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE ORS LAW 18.21 RCW AND 208.200 WAC. of Ownor/Contractor/Authorized Again Data 04/04/2007 ui .ni