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Fran: <br />12/03/2008 15:01 ROBB P.002/003 <br />PERMIT APPLICATION 424180 <br />OLCITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR � fREET, EVERETT, WA 98201. 425-257-8810 <br />.25-257-8857 FAX <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />714 89 ST SE, EVERETT, WA 98208 <br />0072930000160D <br />V` <br />LEGAL <br />LOTNO. BLOCK (TRACT <br />DESC. <br />— <br />OWNER <br />ADDRESS <br />PHONE <br />III:RU'f, DECOKES <br />714 89 ST SE <br />(425)348.3556 <br />. EVERETT, WA 98208 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />Carol Randall <br />800.454-8955 x 133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />FASTW WI4948EC <br />KIRKLAND, WA 98034 <br />01/04/2010 <br />PHONE 800-464-8955 <br />PROPOSED USE OF BUILD NG <br />Buiidin0 MechaIn ca <br />WORK[JAddillo <br />n <br />Altsration <br />H T SOURCE <br />EleclrlcTYPE <br />PERMIT <br />Cm6lnatlon Plumbing <br />Demolition Sign <br />TYPENew <br />as <br />SmInkler <br />Re alrtMalnt <br />ther <br />CONTRACT PRICE OF WORK 5349.00 <br />ICITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace Flectric Water beater <br />PLUMBING <br />MECHANICAL <br />.NO TYPE OF FIXTURE OR ITEM <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />A/C-AIHANDLING UNITS <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />___ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />_ <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 _ <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACEISTOVE <br />URINAL <br />,� <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />_ <br />OAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />—__ <br />GAS PIPING <br />_ <br />SINK (SERVICEIBAR/MOPIETC.) <br />EXHAUST FAN <br />OTHER <br />--___ <br />OTHER____ —_--_—_—__— <br />I HEREBY CERTIFY THAT 1 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 HEREIIN <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 1 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 298200 WAC. <br />Signature of Owner/Contractor/Authorlted Agent �y�yy3U �ep Date 12/032008 <br />