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� PERMIT APPLIC�.ION <br />����CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />784086 <br />SITE ADDRE83 PARCEL TAl( I.D.� PERMITA� <br />GI IO 13RO0KRIDGE OLVD, BVERETT, WA 98203 00784900008500 m da,a_o� <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />NGUYEN, KENNY 6110 DROOKRIDGE BLVD (q25)355-68(}4 <br />• EVERETT, WA 98203 <br />TENANTNAME CONTACTNAME PHONE <br />PAMELA HILL 425 614-3124 x133 <br />CONTRACTOR ADDRESS CONTR.LICENSEA� <br />FAST WATHR HEATER COMPANY 12G01 132ND AVE NE FASTWNC052DF <br />(425)NI4-3124 KIRKLAND, WA 98034 pZ/��pp3 <br />PROPOSED USE OF BUILDING eunar�o ��h���� WORK Ad°��10" H T BourtcE <br />PERMIT Combin�Hon Plumbinp AlUntlon NeMe <br />TYPE amawo� sion TMP� N.w n <br />R� udMUnl a� <br />CONTRACT PRICE OF WORK j449.1� CITY OF EVERETT LOCAL SALES TAX CODEIS 7105 <br />WORK DESCRIPTION Remove/Rcplacc Gus Wn�er Hcater <br />PLUMBING MECHANICAL <br />OF U I OF TU R ITE <br />__ WATER ClO3ET __�__ A/C-MHANDLIN6 UNITS <br />_�_ BATHTU9 »__ FORCED AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) _�_ NEAT PUMP <br />�_ SHOWER ___ UNIT HEATERS <br />___ KITCHEN SINK 6 DISPOSAL _�_ CLOTHES GRYER <br />DISHWASHER RANGE HOOD <br />LAUNDRY TRAY _ 1__ WATER HEATER <br />�_ CLOTHES WA5HER __ METAL FIREPLACE/STOVE <br />_ URINAL _�_ FIREPLACE INSERT <br />_ DRINKING FOUNTAIN _ OA8 FIREPLACE <br />FIOOR DRAIN GAS RANOE <br />�_ BACKFLOW PREVENTER __ GAS PIPINO <br />_� SINK (SERVICEIBAR/MOPIETC.) ___ EXHAUST FAN <br />__ OTHER ___ OTFIER___�_��____�_ <br />t HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED MEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTMORITY TO VIOLATE OR CANCEL THE PROVISpN OF ANY <br />OTHER STATE OR LOCAL U1W REGULATING CONSTRUCTION OR TME PERFORM�WCE OF CONSTRUCTION. THATI AM AUTMORI2ED <br />BY THE OWNER OF THIS FROPERTY TO PERFORM THE WORK FOR WMICM APPLICATION 19 MADE AND 1 COMPLY WITN THE STATE <br />CONTRACTORS LAW 7 8.27 RCW AND 288.200 WAC. <br />Slpntlun of OwnedContnetorlAulhori:ed Apeni �_: -��_��, /.— Dat� � �n5R002 <br />UI V!1 <br />