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From: <br />04/05/2011 13:41 #737 P.002/003 <br />PERMIT APPLICATION 536524 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />820 90 P[. SE, EVERETT, WA 98208 _ O \ O <br />, d-I <br />LEGALI LOT NO. BLOCK TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />EARL, GIiRALD <br />x20 90 I'1. SE <br />I. <br />(425)353.5315 <br />IiVliKliTT, WA 98208 <br />TENANT NAME 1CONTACTNAME <br />PHONE <br />ul/e—(a3ln- <br />L.S <br />CONTRACTOR <br />CONTR.LICENS=# <br />FAST WATER HEATER COMPANY 12601 132ND AVE NE <br />JADDRESS <br />FASTW WH94xUC <br />25—1 70VI/ KIRKLAND, WA 98034 <br />01/04/2012 <br />PROPOSED USE OF BUILDING Buildlnp Maohanloa Addlllon H T SouRCE <br />PERMIT Combinetlon ' Plumbinp WORK Alteration Electric <br />Residential TYPE Demolitlon glen TYPE Now <br />is <br />Re atrlMalnt lher <br />CONTRACT PRICE OF WORK ' , CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Itenurve'Itepllrce Electric Winer Heater <br />PLUMBING <br />OF U ITE <br />MECHANICAL <br />F FIXTUR ITEM <br />QQR <br />____ <br />WATER CLOSET <br />_______ <br />A/C-A/HANDLING UNITS <br />BATHTUB <br />__ <br />FORCED AIR SYSTEMS <br />_______ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />KITCHEN SINK A DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />RANGE HOOD <br />------- <br />LAUNDRY TRAY <br />�1 <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />_Y� _ <br />GAS RANGE <br />_ <br />BACKFLOW PREVENTER <br />__�_ <br />GAS PIPING <br />SINK (SERVICE/BAR'MOP/ETC.) <br />,^ <br />EXHAUST FAN <br />OTHER__`__ <br />OTHER____ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AIL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPEGFIED HEREIN <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 I AMAUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 290.200 WAC. <br />Signature of Ownor/Contractor/Authorized Agent /' %/iDate <br />QU.I 04/0512011 <br />vv� <br />