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i <br /> ,-- P�'RMIT APPLICATiI N <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201, 425-257-8810 <br /> 081604 <br /> SITE ADORESS PARCEL TAX I.D.* PERMIT� <br /> 4'R ALVERSON BLVD.EVGRETT,WA 9R201 00507800001002 MO�U g�OG� <br /> �EGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRE3S PHONE <br /> fOWLGR,NILIiS 428 ALVf ON ��.VD <br /> • GVERGTT. �VA 9R201 (425)252-9286 <br /> TENANTNAME CONTAC7NAME PHONE <br /> PA�dBLA IIILL q25 814-3124 xl3J <br /> CONTRACTOR ADDRESS CONTR.LICENSEM <br /> FAST WATGR HEATGR COPdPANY 12601 132ND AVE NE FASTWHC052DP <br /> (425)814-3124 KIRKLAND, WA 9R034 02/16/2005 <br /> PROPOSED USE OF BUILDING ewiaioo �NCIIMIC� Addillon H T SouRCE <br /> PERMIT Combin�tlon Plumbinp W�RK NtNatlon EI�e1do <br /> TYPE amolillon Si�n TMPE !Nw Gn <br /> �_ R� drlMalnl lher <br /> CONTttACT PRICE OF WORK 5449.oU CITY OF EVENETT LOCAL SALES TAX CODEIS J105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Gas Watcr Hcatcr <br /> PLUMBING MECHANICAL <br /> OF U I E O TU R ITE <br /> __ WATER CLOSET _�___ AIC•MHANOLIN6 UNITS <br /> ____ BATHTUB ���_ FORCEO AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _�_ HEAT PUMP <br /> r_ SHOWER ___ UNIT NEATERS <br /> ___ KITCHEN SINK 6 DISPOSAL __�__ CLOTHES DRYER <br /> __ DISHWA9MER � _ RANGE HOOD <br /> ___ LAUNDRY TRAY ,_�__ WATER MEATER <br /> __ CLOTHES WASHER _�_ METAL FIREPLACE/STOVE <br /> ^ URINAL _�_ FIREPLACE INSERT <br /> ____ ORINKIN(i FOUNT/UN _ pA8 FIREPLACE <br /> , FLOOR ORAIN �__ GAS RANOE <br /> ____ BACKFLOW PREVENTER __ GAS �IPINO <br /> _� SINK (SERVICE/BARIMOPIETC.) ___ EIIHAUBT fAN <br /> _ 07HER ____ OTHER___�_���_____� <br /> 1 MEREBY CERTIFY TW1T I HAVE READ AND E%AM���ED THIS APLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO OR'JINANCES GOVE!2NING TMIS TVPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A!'ERMIT DOES NCT PRESUME TO GNE AUTHORITV TO VIOUITE OR CANCEI THE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAN'REGULATING Cf1NSTRUCTION OR TME PERFORIMNCE OF CONSTRUCTION.THAT I AM AUTMORIZED <br /> BY THE OWNER OF THIS PF.OPERTY TO PERFJRM TME WORK FOR WHiCH MPLICATION IS MADE AN01 COMPIY WITH TNE STATE <br /> CONTRACTORS LAW 78.27 rlCW ANO 298.200 WAC. <br /> Slpnatun of OwnedContraetorlAuthoA::�d A��nt �—f� �lG� D�H 08116/2004 <br /> u�ai <br />