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�-�-� PrRMIT APPLICATI�V <br /> i���� CITY OF EVERETT PERMIT SERVICES <br /> `� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK 1938 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 108 FOR[ST CT, EVERE7T,WA 98203 29053100201300 ���(�Q&� <br /> LEGAL LOT NO. BLOCK �TRACT <br /> DE <br /> OWNER ADDRESS PHaNE <br /> WUNPHENG,RAMAN 108 FOREST CT <br /> • EVERE"IT, WA 98203 (509)230-9841 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATEn HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND, WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING swminp M�ehsniea ��RK pddit�on HEAT SOURCE <br /> PERMIT Combination Plumbing Ntsratlon El�et�ic <br /> TYPE D�moliUon Sipn TYPE New aa <br /> r R� sirlMalnl Iher <br /> CONTRACT PRICE OF WORK $449.00 CITY OF E�ERETT LOCAL SALES TA7(CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas Water Heater <br /> UMBI MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> _______ WATER CLOSET ______ AIC-AIHANDLING UNITS <br /> ____ BATHTUB _�__ fORCED AIR SYSTEMS <br /> ___ LAVATORY(INASH BASIN) ____ HEAT PUMP <br /> �_ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK & DISPOSAL __�_ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RANGE HOOD <br /> ___ LAUNDRY TRAY _ _�__ WATER HEATER <br /> __ CLOTHES WASHER ___ METAL FIREPLACElSTOVE <br /> _ URINAL ____ F�REPLACE INSERT <br /> V DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> , FLOOR DRAIN GAS RANGE <br /> ___ BACKFL��W PREVENTER __ GAS PIPING <br /> ___ SINK (SBRVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br /> OTHER �__ OTHER_______�_____ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO 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 COMPLIEO WIHT WHETMER SPECIFIEO HEREI <br /> OR NOT.TME 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 TNE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signatura oi OwnedContraetor/Authorized Ageni �,. ._ . �� ���-� � Date 01/i2/2005 <br /> ui�ni <br />