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� �ERMIT APPLICA� �ON � <br /> �i��� CITY OF EV�RETT PERMIT SERVICES <br /> `� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 � <br /> 775334 ' <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# � <br /> 4601 FOREST DR, EVERETT,WA 98203 0044)500000900 MOa��'�(� <br /> i <br /> LEGAL LOT NO. BLOCK ITRACT ' <br /> DE � <br /> OWNER ADDRESS PHONE � <br /> 4G01 FOREST DR � <br /> MUi2PHY,THETA (425)303-3375 t <br /> • EVERETT,WA 98203 ' <br /> i <br /> TENNNT NAME CONTACT NAME PHONE � <br /> PAMELA HILL 425 814-3124 x133 � <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY 12G01 132ND AVE NE FAST19HC052DF � <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/7003 <br /> PROPOSED USE OF BUILDING Buildinp M�chanlca Add�tion H AT SOURCE � <br /> PERMIT ComblmNon Plumbinp WORK /�����gon EI�etAc + <br /> TYPE D�molilion Sipn TMPE New as � <br /> � R� �IrlMalnt her <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replacc ras Waier Heater <br /> UMBI MECHANICAL <br /> NO. TYP OF FIXTURE OR ITEM NO. TYP OF IXTUR OR ITEM <br /> WATER CLOSET ______ AIC-A/HANDLINCi UNITS <br /> BATHTUB ______ FORCED AIR SYSTEMS <br /> � LAVATORY (1NASH BASIN) _�_ HEAT PUMP <br /> SHOWER ___ UNIT HEA7ERS <br /> � KITCHEN SINK & DISPOSAL _____ CLOTHES DRYER <br /> DISHWASHER �_____ RANGE HOOD <br /> LAUNORY TRAY __�__ WATER HEATER <br /> CLOTHES WASHER __,� METAL FIREPLACEISTOVE <br /> URINAL ____ FIREPLACE INSERT <br /> T DRINKING FOUNTAIN �__ GAS fIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> � BACKFLOW PREVENTER __ GAS PIPING <br /> __ SINK (SERVICEIBAR/MOPfETC.) ___ EXHAUST PAN <br /> ____ OTHER_ _�_ OTHER___�_��____�____ <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 WIIL BE COMPLIEO WIHT WHETHER SPECIFIED 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.THAT I AM AUTHORIZED <br /> 8Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signalure o(OwnedContractor/Authorized Agen� �r���G�� Dste 11/05/2002 <br /> ui�ni <br />