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Iron: 08/17/2009 10:40 11642 P. 002/002 <br /> PERMIT APPLICATION 454,392 <br /> ��A' rr CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 42.5-257-8857 FAX —17 Qy <br /> SITE ADDRESS PARCEL TAX 1.D.# PERMIT# <br /> 216791'LSW, EVEREFF, WA 98203 00849300000300 M69�1� C `� <br /> LEGALI LOT NO. BLOCK (TRACT <br /> A_ <br /> OWNER ADDRESS PHONE <br /> LAGAIII'I-, ERNESTO 216 79 PL SW (•125)314.7946 <br /> 1. 1[VIa1Err, WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 4-5-636-7054 <br /> CONTRACTOR P 7DRESS CONTR.LICENSE# <br /> FAST WA77ilt IIFA'FF.R COMPANY 12601 132ND AVE NE FASTW W1194811C <br /> PHONE 425-636-7054 KIRKLAND, WA 98034 01/04/2010 <br /> PROPOSED USE OF BUILDING Bulldlnp Mechanlca Addition H T SOURCE <br /> PERMIT Combination PlumElnp WORKMRspair <br /> Alteration lactrlc <br /> TYPE Demolition Blpn TYPE Now as <br /> Sp;lnkltr lMmini I r <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Itcmo�c'Rcpl;lcc Gas Water Ilcmcr <br /> PLUMBING MECHANICAL <br /> NO TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET AIC-A/HANDLING UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) __ HEAT PUMP <br /> SHOWER —__ UNIT HEATERS <br /> KITCHEN SINK & DISPOSAL _ ____ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY �__ WATER HEATER <br /> —_—__ CLOTHES WASHER —___ METAL FIREPLACEISTOVE <br /> URINAL FIREPLACE INSERT <br /> —__ DRINKING FOUNTAIN --__ GAS 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 TINT 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 HERE( <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 PERFORBVWCE 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 /> Sip nnlure of Ownor/Controclor/Authorized Agent � t� N�li -a,,,.ZG 4'O Date <br /> 08/17/2009 <br /> mw <br />