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r�, � n <br /> PC-RMIT APPLiCAT1C ,V � �'� ;��` � ; � <br /> ���� � ��l <br /> CITY OF EVERETT PERMIT SERVICE3 NOU 2 4 2004 <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> __ _ cki��s <br /> � <br /> SITE ADDRESS PARCEL TAX I.D.iI� EnrpLR���ir.servicec <br /> 2019 COLDY AVE,EVGRBiT, WA 98201 00437042401000 /7��// �/ <br /> / <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> OCONNOR,MARTIN 20I9 COLDY AVE <br /> • EVC•RL7'T,WA 98201 (425)252-7184 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL q25 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEA� <br /> PAST WATBR HEATER COMPANY 12601 132ND AVE NE fASTWHC052DP <br /> (425)814-31Z4 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING eu�minp M�ahmica ped;��on H T SOURCE <br /> PERMIT Com6ln�tlon plumElnp WORK NNraeon I�elria <br /> TYPE Q+molilion Sipn n'PE N�w �i <br /> � R� �IrJMa�nt her <br /> CONTRACT PRICE OF WORK �349.00 CITY OF EVERETT LOCAL SAIES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Blectric Water Hea�er <br /> PLUMBING MECHANICAL <br /> N . TYPE OF FIXTURE OR ITEM O. E OF FIXTURE R ITEM <br /> ____ WATER CLOSET A1C-AIHANDLING UNITS <br /> _�__ BATHTUB � FORCED AIR SYSTEMS <br /> ___w_ LAVATORY (WASH BASIN) � HEAT PUMP <br /> ___ SHOWER _ UNIT HEATERS <br /> _____ KITCFIEN SINK 6 DISPOSAL CLOTHES DRYER <br /> _____ DISHWASHER � RANGE HOOD <br /> _____ LAUNORY TRAY � WATER HEATER <br /> ____ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _�_ URINAL FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN � f3AS FIREPLACE <br /> fLOOR DRAIN GAS RANC3E <br /> _� BACKFLOW PREVENTER GAS PIPING <br /> _� SINK (SERVICElBAR/MOP/ETC.) �� EXHAUS7 FAN <br /> ___ OTHER_ _�_ OTHER_�___Y___�_ <br /> I HEREBY CERTIFY THqT I NAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDIN,4NCE5 GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TtiAT I AM AUTMORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WMICH APPLIC,ATION IS MADE AND I COMPLY WITH THE S1ATE <br /> CON7RACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> Sipnawre of Owner/ContraetorlAuthorized Apeni ��; �� ���•�_ �.- D�te ���23/2004 <br /> UI 1�1 <br />