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Fron: 04/04��007 13:05 q479 P.005/006 <br /> PERMIT APPLICATION 363932 <br /> G���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> � �y �� <br /> SITE ADDRESS PARCEL TAX I.D.# ` n PERMIT# <br /> 212 BRIDGG\VAY,CVERETT,WA 98201 0052U300003100 N� O�D ,O T <br /> � -� lJ <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> IN1JB5,BEVERLY 2�2 BRiDGE WAY (qZ5)252-6080 <br /> • EVERETT,WA 9820I <br /> TENANTNAME CONTACTNAME PHONE <br /> PemelaHill 800 454-S955x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSF# <br /> FASI'WATERHEATL•RCOMPANY 12601132NDAVENG FAST11'NH94SG_ <br /> (425)5143124 ��-�ND,WA 95034 01/03R008 <br /> PROPOSED U5E OF BUILDING euiminp M�ehanlca Addition H T SOURCE <br /> PERMIT Com6lnatlon Plumhlnp WORK /��enlfon Eleclr(e <br /> TypE D�molillon Slpn TYPE New as <br /> rink r R� alrlMaint thor <br /> CONTRACT PRICE OF WORK 53�9.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION �emovelReplace Electric 1Vater Heatcr <br /> PLUM8ING mECHANICAL <br /> P O FI U O I O TYPE OF IICTURE GR tTEM <br /> __ WATER CLOSET ____ AIC•AIHANDLING UNITS <br /> __ BATHTUB _�_ FORCED AIR SYSTEMS <br /> _�_ LAVATORY(WASH BASIN) _� HEAT PUMP <br /> � SHOWER ___ UNIT HEATERS <br /> �__ KITCHEN SINK & OISPOSAL ____ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> ____ LAUNDRYTRAY _�� WATER HEATER <br /> � CLOTHES WASHER METAL FIREPLACEfSTOVE <br /> _ URINAL ,_,_ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DRAIN GAS RAN6E <br /> ___ BACKFLOW PREVENTER _� GAS PIPIhG <br /> ___ SINK (SERVICEIBAR/MOP/ETC.) �__ EXHAUST FAN <br /> � OTHER _�_ OTHER�,_�_���__�_.r <br /> I hIEREF3Y CERTIFY TfIAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP WORK WILL BE COA7PLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERh11T GOES NOT PRESUME TO GIVE AU7HJRITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LA\Y REOULATING CONSTF2UCTION OR THE PERFORh1ANCE OF CONSTRUCTION.THAT 1 AMAUTHORI2ED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS AU4DE AND I COMPLY WITH TME STATE <br /> CO4TRACTORS LAW 18.27 RCW ANO 298200 WAC. <br /> SlgnaWra of OwnadCantractorlAuthorizod Ageni��:-`�T'��;,�;.� pa1e 04/04/2007 <br /> ui�ni <br /> . _ . . M,U�o �' b�� <br />