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- Pr'RMIT APPLICATI- N <br />CITY OF EVERETT PERMIT SERVICES <br />.._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK 1533 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />6305 FIRWOOD PL, EVERETT, WA 98203 00623500004400 <br />/! <br />LEGAL <br />LOT NO. <br />BLOCK <br />DE <br />(TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />6305 FIRWOOD 1'L <br />I30WDIN, KENDI2A <br />(425)355-2241 i <br />EVERETT, WA 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PAMELA HILL <br />425 814-3124 s133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />FASTWHC052DF <br />KIRKLAND, WA 98034PHONE <br />02/16/2005 <br />(425)8t4-3124 <br />PROPOSED USE OF BUILDING <br />Building Meohanica <br />WORK <br />Addition <br />HAT SOURCE <br />PERMITIHSprinkler <br />Combination Plumbing <br />Aiteratlon <br />Electric <br />TYPE <br />Demolition Sign <br />TYPE <br />New <br />as <br />Ra air/Malnt <br />ther I <br />CONTRACT PRICE OF WORK 5349.00 <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Rcmove/Replace Electric Water Ileater <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />NO. I TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />— ----- <br />A/C•A/HANDLING UNITS <br />—----- <br />BATHTUB <br />_____ <br />—_ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />--_ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />—----- <br />CLOTHES DRYER [ <br />—_ --- <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />--I__ <br />WATER HEATER <br />CLOTHES WASHER <br />--__ <br />METAL FIREPLACEISTOVE i <br />_— <br />URINAL <br />---_ <br />FIREPLACE INSERT <br />--_ <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />--_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />— _ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />—_ <br />EXHAUST FAN <br />,— <br />--- <br />OTHER— <br />--_ <br />--- <br />OTHER----------------------- <br />— <br />------------- l <br />— — --- ---- <br />I HEREBY CERTIFY THAT 1 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 OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREIt <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. THAT I AM AUTHORIZED { <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of OwnerIContractor/Authorized Ageni ��G= � Date 09/14/2004 1 <br />