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Iron: <br />03/30/201L; 16:07 0470 P.002/003 <br />PERMIT APPLICATION 485754 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />.125.257-8857 FAX <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />707 81) ST 4N', I'.VFI(I:T I, WA 98204 00743700001100 <br />�IU �)r <br />DESC,-I L07N0. BLOCK <br />(TRACT <br />OWNER ADDRESS <br />PHONE <br />GARCIA, ALGERICO 7(7 89 S'I' SW <br />• fVlil<!iI I-. N,A 98204 <br />(425)I18-8830 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />__ <br />Carol Randall <br />425-636-7054 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATLA IIL'ATER CONIII'ANY <br />12601 132ND AVE NE <br />FAS'I.1V'd'II9,I8HC <br />PHONE 425-636-7054 <br />KIRKLAND, WA 98034 <br />01/04/2012 <br />PROPOSED USE OF BUILDING Building Mec"a Andi!lon H T SOURCC <br />PERMIT Combinallen ' Plumbinp WORK Aller�tion Electric <br />Residential <br />TYPE Demolition Sign TYPE Nov -aa <br />Rs air/Mninl h r <br />CONTRACT PRICE OF WORK 53.19.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />1:cmovc/Rcplacc Flectric Watcr I Icatcr <br />PLUMBING <br />MECHANICAL <br />PE OF FIXTU F O ITEM <br />O <br />PE OF FIXTHR" OR ITEM <br />WATER CLOSET <br />NC-NHANULING UNITS <br />BATHTUB <br />_ __ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />__ ___ <br />1{F!;T PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />------- KITCHEN SINK 6 DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />--_— <br />RANGE it COD <br />LAUNDRY TRAY <br />1--_— <br />WATER HOOD <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTNN <br />_ <br />OAS FIREPLACE <br />FLOOR DRAIN <br />�_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAE. PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />_ <br />---- <br />EXHAUST FAN <br />OTHER__-_ <br />�_ --- <br />----- <br />OTHER-------------------- <br />RTIFY THAT I HAbE READ AND EXA6,INED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />OF LAWS AND L'ROINANCES GOVERNING THIS TYPE OF WORK WILL BF COMPLIEC WIHT WHETHER SPECIFIED HERE( <br />GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OR LOCAL LAW REL3ULATING CONSTP JCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />LTPEOWNCR <br />ER OF THIS PROPERTY TO PERFORMT1IE WORK FOR WHICH APPLICATION IS MADEAND 1COMPLYWITH THE <br />STATE <br />RS LAW 18.27 RCW AND 2%, .200 WAC. <br />Signature of Owner/Contractor/Authorizod Agent �: .� rip Date <br />03/30/2010 <br />o, it <br />