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P( RMIT APPLICATIQ .V <br /> ���� CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 96201, 425-257-8810 I <br /> CKI395 <br /> SITE ADORESS PARCEL TAX I.D.* PERMIT� � <br /> 4804 ALGER AVE, EVEkETT, WA 98203 00606900400500 � <br /> rno4o�-ooq <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> HANSON,LOWELL 4R04 ALGER AVE <br /> • IiVGRETT,WA 9R203 (425)303-0619 <br /> ' TENANTNAME CONTACTNAME PHONE <br /> PAMBLAIIILL 425 814-3124x1J3 <br /> CONTRACTOR AODRESS CONTR.LICENS�A� <br /> 3AST WATGR HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)R14-3124 KIRKLAND,WA 9R034 02/16/2005 <br /> PROPOSED USE OF BUILDING euua�no wen.nio. �ediuon H T SOURCE <br /> PERMIT ComblmUon �IumElnp W0� Attw�tlen Natrlc <br /> TYPE D�moIIWn �y� TYPE �r as <br /> R� UrM�lnl <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL aALEi TAX CODEIS 7105 <br /> WORK DE8CRIPTION Rcmo�aRcplacc Glcctric 1\'alcr Hwicr <br /> PLUMBING MFCHANICAL <br /> OF U I <br /> __�__ WATER CLOSET MC•MHANOLINO UNITS <br /> _�___ BATHTUB _�__ FORCE�AIR SYSTEMS <br /> ______ LAVATORY(WASH BASIN) ___ HFAT PUMp <br /> ___ SHOWER ___ UNIT HEATERS <br /> _____ KITCMEN SINK 6 DISPOSAL _,__ CLOTNES ORYER <br /> ____ __ DISHWASHER _ _ RANGE HOOD <br /> _.___ LAUNDRY TRAY __�__ WATER HEATER <br /> �__ CLOTHE9 WASFIBR __� METAL FIREPLACEIETOVE <br /> _�_ URINAL _�_ FIREPLACE INSERT <br /> __ ORINKING FOUNTAIN _ OAS fIREPLACE <br /> FLOOR DRAIN OAS RANGE <br /> _____ CACKFLOW PREVENTER __ GAS PIPWO <br /> _�_ SINK (SERVICEI6ARIMOPIETG.) ___ EXHAUST fAN <br /> ---- OTMER _^_ OTMER-�-�-____---�-T <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APIICATION AN�KNOW THE SAMf TO BE TRUE AND CORRECT.ALL ^ <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIEO WIXT WMETMER SPEGFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO aNE AUTHORITV TU VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE PERFORMANGE OF CONSTRUCTION.TMAT I AM AUTHORIZED <br /> 8V THE OWNER OF THIS FROPERTY TO PERFORM TME WORK FOR WMICM MPLICATON IS MADE AN01 COMPLV WITM THE STATE <br /> CONTRACTORS LAW 18.27 RCW AN�298.200 WAC. <br /> SlpnaWn of Own�dContne�or/Authoti:�d Ap�ni ��%_ �C� D�N OB/03/2004 <br /> ui.ai <br />