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From: 07/!'/2007 12:10 #b00 P.002/UO3 <br /> r � <br /> PERMIT APPLICATION 372531 <br /> � GITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-6857 FAX � � � �� <br /> SITE AQDRESS PARCEL TAX I.D.# PERMIT# <br /> I 11 FOFtEST C'1',EVERET"1',WA 98203 00850300001400 <br /> .� �76" -vU <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> LOMAX,7'OM 111 FOREST CT <br /> • FVERETT,WA 9E203 (425)259-1�48 <br /> ''rLNANT NAME CONTACT NAME . PHONE <br /> Pamela Hill 800-054-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.UCENSE# <br /> FASTWATERHEATERCOMPANY 12601132NDAVENE FASTWWH948BC <br /> (425)814-3124 ��-AND,WA 98034 O1/03/2008 <br /> PROPOSHD USE UF BUILDING 8����^a wenanica Aaduion H T SOURCE <br /> PERMIT Combination Plumbinp WORK Np�d� EkeMc <br /> TYPE D�molmon g�p� TYPE N� � <br /> R� trAMalnt e� <br /> CONTRACT PRICE OF WORK �449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replece Gas Watcr Hcatcr <br /> PLUMBING MECNANICAL . <br /> N . OF TU R 1TE TYPE OF I URE OR ITEM <br /> ___ WATER CL03ET A!C•AlHANDLING UNITS <br /> .__ BATHTUB _ FORCED AIR SYS�EMS <br /> _____ LAVATORY(WASH BASIN) _� HEAT ?UMP <br /> __�_ SHOWER _ ' UNIT HEATERS <br /> ______ KITCHEN SINK 3 DISP�SAL � CLOTHES DRYER <br /> ___ DISHWASHER � RANGE HOOD <br /> ____ LAUNDRY TRAY �1 WATER HEATER <br /> ___ CLOTHES WASHER . METAL FIREPLACElSTOVE <br /> URINAL � � FIREPLACE INSERT <br /> _ ORINKING FOUNTAIN OAS FIREPLACE <br /> _._ FLOOR DRAIN ' GAS RAN(iE <br /> _�__ BACKFLOW PREVENTER _ GAS PIPIN6 <br /> —•-- SINK (SERVICElBAR/MOP/E7S� ._. � . EXHAUST FAN '" - <br /> ___ OTHER_ _ OTNER <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TF11S APLICATIOW AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCE&OOVERNING THIS TYpE OF WORK WILL BE COMPLIEO WIHT WHETMER SPECIFIED HEREI <br /> OR NOT.IHE GRANTING OF A PERMIT DOE6 NOT PRESUM'E TO pIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION GF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIi)N OR THE PERFORMANCE OF CANSTRUCTION.THATI AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE W�>RK FOR WHICH APPLICATION IS MADE AND�COMPLY WITH TME STATE <br /> CONTRACTORS LAW 1B.27 RCW�ND 298200 WAC. <br /> Signeture of OwnerlContractor/Authotized Agani.' �-� Dete <br /> �J-L-�'���-�++/'Q 07/11/2007 <br /> m�.ai <br />