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� <br />SITE ADDRESS <br />PERMIT APPLI�ATION <br />CITY OF EV�RETT PEF2M�T SERVICES <br />3200 CEDAR STREET, E�IERETT, WA 98201, 425-257-8810 <br />18TH AVE W 6-101 <br />OWNER <br />Judy Landgrag <br />TENANT NAME <br />CONTRACTOR <br />Fasl Nlater Heaters Company (SEA) <br />4258143124133 <br />PROPG'SED USE OF BU <br />PRICE OF WORK 349.00 <br />WORK DESCRIPTION <br />Remove/replace eiectric water heater <br />PARCEL T."1X I.D.# <br />00736300610100 <br />ADDRESS <br />8407 181h Ave W #6-101 <br />CONTACT NAME <br />ADDRESS <br />12601 132nd Ave. N.E. <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES VVASHER <br />URINAL <br />DRI�KING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />S!NK (SERVICEIBARIMOPIETC.) <br />OTHER--------------------------- <br />WA <br />WA <br />PERMIT# � <br />f'l� ��i D -�lS <br />C7' <br />PHONE <br />98204 4252903120 <br />PHONE <br />CONTR.LICENSE# <br />98034 FASTWHC052DF <br />Plumbtng IWORK �q�teration <br />Sign TYPE ❑ New <br />Re air/Ma <br />CITY OF EVERETT LOCAL SALE <br />SOURCE <br />TAX CODEIS 3105 <br />A1C-AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HFAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASiZANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER_________ <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM!'LIED WIHT WHETHER SPECIFIED HERE <br />)R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />)THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />IY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADEAND I COMPLY WITH THE STATE <br />;ONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />..,� y�ierlContractorlAuthorized Agent <br />10/02/2001 <br />Date <br />R51 9C1 <br />