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t��RMIT APPLICATI'�N <br /> �i�r� CITY OF EVERETT PERMIT SERVICES <br /> `� 3200 CEDAR STREE7, �VERETT, WA 98201, 425-257-8810 <br /> 661364 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT# <br /> 4737 GLENWOOD AVE,GVERLTT,WA 98203 00505700004803 ^�� <br /> �CJ <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> FARMER,WENDY 4737 GLENWOOD AVE (425)258•1038 <br /> • EVERETT,WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTQR ADDRESS CONTR.LICENSE� <br /> FAST WATER HCATER COMPf�NY 12601 132ND AVE NE FASTWNCOi2DF <br /> KIRKLAND,WA 98034 02/16/2002 <br /> (425)814-3124 <br /> PROPOSED USE OF BUILDING � ���a��o M�ehanica W�RK naaiaon H T SOURCE <br /> F_.RMIT Canbinallon Plumbinp Altwatlon Ndrie <br /> rrPe o.maiu�� s�9� TYPE n.M, .. <br /> R� rlMQnt er <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALE3 TAX CODEIS 3105 <br /> WORK DESCRIPTION Removc/Rcplace Gas Water Ncater <br /> MECHANICAL <br /> NLUMBING OF TU I U R ITEM <br /> WATER CLOSET _�___ MC•AMANDLINO UNITS <br /> � BATHTUB ____ FORCED AIR SYSTEMS <br /> � LAVATORY(WASH BASIN) _ HEAT PUMP <br /> � SNOWER �__ UNIT HEATERS <br /> ~ KITCHEN SINK 6 DISPOSAL _�_ CLOTFIES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> � LAUNORY TRAY �__ WATER HEATER <br /> CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> URINAL ______ FIREPLACE INSERT <br /> DRINKING FOUNTAIN (iA3 FIREPLACE <br /> FLOOR DRA1N GAS RAN(3E <br /> BACKFLOW PREVENTER __ CiAS PIPINO <br /> SINK (SERVICEIBIIRIMOPfETC.) _^_ EX►IAUST FAN <br /> � OTHER _ OTHER_� �__—�_ <br /> 1 HEREBY CER7IFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES r,pVERNING THIS TYPE OF WORK WILL BE COMPLIEU WINT WNETHER SPECIFIED MEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TMAT 1 AM AUTMOR�ZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Sipnalure o(OwnedContraetorfAuthorized Ay�ni ��r� ��.,�> Dr.t� �����Z�02 <br /> u�.ni <br />