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� .'ERII�lIIT APPLICAti .ON <br />�i✓�� CITY OF EVERETT PERMIT SERVICES <br />`� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />018083 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />6322 BBVERLY BLVD, EVERETT, WA 98203 00531700200103 rno3o s-005 <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />6322 DLVGRLY BLVD <br />PERRY, MILDRED & BEN . EVGRGTT, WA 98203 (425)353-3598 <br />TENANTNAME CONTACTNAME PHONE <br />PAMLLA 111LL d25 814-3124 x133 <br />CONTRACTOR ADDRESS CONTR.LICENSE�f <br />FAS'f WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br />KIRKLAND, WA 98034 02/16/2005 <br />(425)814-3124 <br />PROPOSED USE OF BUILDING e���ar�o M��haolca WORK Ad°���0" H T SOURCE <br />PERMIT Combinatlon Plumbinp Alt�r�tlon Nctdc <br />TYPE D�molillon S�pn TYPE N�w as <br />R� NNMalnl h�r <br />CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TA% CODEIS �105 <br />WORK DESCRIPTION Rcmovo/Rcplacc Elcctric Watcr Hcatcr <br />pLUMBING MECHANICAI <br />p. OF FIXTU E ITEM O. P OF IXTUR R ITEM <br />WATER CLOSET ______ A/C•AIHANDLIN6 UNITS <br />� BATHTUB _�__ FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) _�_ HEAT PUMP <br />� SHOWER ___ UNIT HEATERS <br />� KITCHEN SINK 6 DISPOSAL _�_ CLOTHES DRYER <br />OISHWASHER _ RANGE HOOD <br />� LAUNDRY TRAY � _ WATER HEATER <br />CLOTHES WASHER �_ METAL FIREPLACE/STOVE <br />URINAL _�_ FIREPLACE INSERT <br />� ORINKING FOUNTAIN _ OAS FIREPLACE <br />� FLOOR DRAIN GAS RANGE <br />BACKFLOW PREVENTER __ GAS PIPIN6 <br />� SINK (SERVICFJBAR/MOPlETC.) ___ EXHAUST FAN <br />� OTHER _^_ OTHER_�__�_��____ <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WMETNER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO V�OLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. T1iAT 1 AM AUTHORIZED <br />BY TME OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITM THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />Sipnature of OwnerlContractor/Aulhcrized Agem ��� ���� ���� pqn92003 <br />��\ NI <br />