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�. ERMIT APPLICA�JN <br />����CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />019195 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />3930 FEDERAL AVE SE, EVEREI'f, WA 98201 29053000304000 11� ��� b��� <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />RICKERT, PAULINE 3930 FEDERAL AVE SE <br />• EVERETT, WA 98201 (425)252-1943 <br />TENANT NAME CONTACT NAME PHONE <br />PAMELA HILL 425 814-3124 x133 <br />CO!�TRACTOR ADDRESS CONTR.LICENSE# <br />FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br />(425)814-3124 KIRKLAND, WA 98034 02/16/2005 <br />PROPOSED USE OF BUILDING ewmtnp M�ehanie� pddiuon H T SOURCE <br />PERMIT Combin�tion Plumbinp W�RK Alt�ratlon Neerle <br />TYPE D�moUUon Sipn TYPE N�wr as <br />R� UrlMainl ar <br />CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3705 <br />WORK DESCRIPTION Remove/Replace Electric Water Heater <br />PLUMBING MECHANICAL <br />OF FI TURE 1 P OF 7(TUR R ITE <br />�_ WATER CLOSET _w__ AIC-/UHANDLINCi UNITS <br />__ BATHTUB ��_ PORCED AIR SYSTEMS <br />_� LAVATORY (WASH BASIN) _ HEAT PUMP <br />, SHOWER ___ UNIT HEATERS <br />___ KITCHEN SINK 6 DISPOSAL _�_ CLOTHES DRYER <br />___ DISITY'IASHER _ RANGE HOOD <br />___ LAUNDRY TRAY 1_ WATER HEATER <br />�_ CLOTHES WASHER __ METAL FIREPLACEISTQVE <br />T URINAL ___ FIREPLACE INSERT <br />_ ORINKING FOUNTAIN _ f3AS FIREPLACE <br />FLOOR DRAIN GAS RANGE <br />�_ BACKFLOW PREVENTER __ GAS PIPIN(3 <br />� SINK (SERVICE/BAR/MOPIETC.) ___ EXHAUST FAN <br />_�_ OTHER� ___ OTHER__ _� <br />1 HEREBY CERTIFY THAT I HHVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIH7 WNETHER SPECIFIEO HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THATIAMAUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WaRK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 19.27 RCW AND 298200 WAC. <br />Signature of OwneriContractor/Authorized Ageni ��� �!_��,� Dat� 10/22/2003 <br />u�.vn <br />