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� �RMIT APpLICATI�,JN <br /> ����� CITY OF EVERETT PE.RMIT Sc�ZVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 675733 <br /> SITE ADDRESS PARCEL TAX I.D.#� PERMIT# <br /> 4327 CRESCENT AVE,EVERETT,WA 98203 0060550160040? ��GZC�—G�2� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> MCDONALD,LYNN&]OEL 4327 CRESCENT AVE <br /> • EVERETT,WA 98203 (425)252-6490 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEN <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3I24 KIRKLAND,WA 98034 02/16/2002 <br /> PROPOSED USE OF BUILDING Bw�dtnp M�eh�nica pdditlorl H AT SOURCE <br /> PERMIT Comblmnon Plumbinp WORK Nqpgo� El�ctric <br /> TYPE D�mollUon Slpn nPE N�, �� <br /> R� �fdMalM e� <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Gas Watcr Hcatcr <br /> ���� MECHANICAL <br /> P OF F TUR ITEM OF FIXTUR R ITEM <br /> ____ WATER CLOSET AIC•AlHANDLING UNITS <br /> ____ BATHTUB � fORCED AIR SYSTEMS <br /> ___..�_ LAVATORY(WASH BASIN) �� HEAT PUMP <br /> _____ SHOWER _ UNIT HEATERS <br /> --___ KITCHEN SINK 6 DISPOSAL CLOTHES DRYER <br /> ____ DISHWASHER � RANGE HOOD <br /> ______ LAUNDRY TRAY � WATER HEATER <br /> _�__ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> _�_ URINAL FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN � GAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _�__ BACKFLOW PREVENTER GAS PIPIN(i <br /> �_ SINK (SERVICEIBAR/MOP/ETC.) EXHAUST FAN <br /> _�_ OTHER ___ OTHER_��________y <br /> I HEREBY CER7�:Y THAT I 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 MEREI <br /> OR NOT.T}1E GRANTING OF A PERMIT DOE5 NOT PRESUME TO GNE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFiUCTION.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 /> Siynalure o/OwnedContaetorlAuthorized Agent ���. ��f;_.�,. Date 02/06/2002 <br /> UI MI <br />