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,-�� 1�"RMIT APPLICAT�)N <br /> 1�1�� CITY OF EVERETT PERMIT SERVICES <br /> F 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> cK3aa� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 4821 BLACK FOREST LN,EVERETT,WA 98203 290531U0302200 ,�n S� ' �� <br /> !vl 0 <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> PLENDL, BRl'CF. 482� BLACK FOREST LN �q�5)252-9017 <br /> • EVERETT, WA 98203 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST�L'ATI[R HEATERCOMPANY 12601 132ND AVENE � FASTWHCOS?Df' <br /> ��'_�1814-3124 KIRKLAND,WA 98034 02/16/2007 , <br /> PROPOSED USE OF BUILDING BWidinp Meenan�s WORK aad�eton HEAT SOURCE <br /> PERMIT Combinaqon Plumbl AlUratlon I�etric <br /> TYPE MmWilion Sipn TYPE N�w as <br /> fL drlMalnt ner <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas Water Heater <br /> PLUMBING MECHANICAL <br /> N . TYPE OF FIXTURE OR ITEM NO. TYPE OF IXTURE R ITEM <br /> �_ WATER CLOSET _A__ A/C-A/HANDLING UNITS , <br /> ____ BATHTUB FORCEO AIR SYSTEMS <br /> _ LAVATORY (VYASH BASIN) ___ HEAT PUMP �I <br /> , SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 8 DISPOSAL _�_ CLOTHES DRYER <br /> ` DISHWASHER _ RANGE HOOD <br /> ______ IAUNDRY TRAY � � WATER HEATER I <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> ___ URINAL O� FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN � GAS FIREPLACE <br /> FIOOR DRAIN D II n GAS RAN6E <br /> ____ BACKFLOW PREVENTER J !/ GAS PIPING <br /> ^�_ SINK (SERVICE/BAR/MnP1�7)C�.),� UN2 _ EXHAUST FAN <br /> —�_ OTHER-----�-i' I OS _ OTHER----------------- <br /> ------- - ------------- <br /> --- �'�=�'�., <br /> --- ----- ---- ------_____--------- - <br /> --- <br /> -- ---------- SB'�%ce E — ----------- <br /> TT --- --- <br /> 1 HEREBV CERTIFY THAT i HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETMER SPECIFIED MEREI <br /> OR NOT.THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TMAT 1 AM AUTHORI2ED <br /> 8Y THE OWNER OF THIS PROPERTY TO PERFORM TFiE WORK FOR WHICH APPL�CATION IS MADE AND 1 COMPIV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW ANO 296.200 WAC. <br /> SfgnaWre of OwnedContractor/Authorized Aga�i �.-�c.�,.�- /��"� / Dat� 06/20i2005 <br /> U�Mi <br />