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F��cRMIT APPLICAT�JN <br /> ��r� CITY OF EVERETT PERMIT :;ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 656768 <br /> SITEADDRESS PARCELTAXJ.D� PERMIT# <br /> 10305 DAKOTA WAY,EVERETT,WA 98204 00552300100802 /���/ _�� <br /> //� �-�i <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> DIETMAN,TF.RESA,BILL 10305 DAKOl'A WAY <br /> • EVERET"1',WA 98204 (425)353-0457 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/2002 <br /> PROPOSED USE OF BUILDING Buildtnp M�ch�nl�C� WORK �d111O" H T SOURCE <br /> PERMIT Combination Plumbin Alt�ratlon El�etdc <br /> TYPE D�molilian Sipn TYPE N�w as <br /> r R� alrlMalnt her <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Removc/Rcplacc Elcetric Nater Hcatcr <br /> PLUMBING MECHANICAL <br /> NO. TY OF F TUR O ITE OF XTU R ITEM <br /> __ WATER CLOSET __�__ AIC-AIHANDLINl3 UNITS <br /> �_ BATHTUB ��__ FORCED AIR SYSTEMS <br /> _�_ LAVATORY pNASH BASIN) _ HEAT PUMP <br /> ____ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 6 OISPOSAL _T_ CLOTHES ORYER <br /> _� OISHWASHER _ RANGE HOOD <br /> ___ LAUNDRY TRAY � _ WATER HEATER <br /> �_ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> � URINAI _�_ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN _� GAS RANGE <br /> ___ BACKFLOW PREVENTER ___ GsS PIPING <br /> ____ SINK (SERVICEIBARIMOPIETC.) _�_ EXHAU�? F�:; <br /> __ OTHER ___ OTHER_�,�_____�_ <br /> I HEREBY CERTIFY THAT I IiAVE 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 HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATlNG CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORIZEO <br /> 8Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHtCH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Stpnature of OwnedContraetor/Authorized Ageni �T ` - Dab <br /> �/-- ��•="/' 12/28/2001 <br /> UI.NI <br />