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SITE <br />'� ERMIT APPLICAI �JN <br />CITY OF EVERETT PERMIT SEFiVICES <br />`.�`"r 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />TAX I.D.# <br />5035 B CREST LN, EVERGTT,IVA 98203 29043600402800 <br />LEGAL LOT NO. BLOCK <br />DE <br />OWNER ADDRESS <br />HATLEBERG, SHAIVN �C JAA11E 5035 E CREST LN <br />• sy�Kcrr, WA 98203 <br />TENANT NAME <br />PAMGLA HILL <br />CONTRACTOR ADDRESS <br />FAST WATER IIEATER COMPANY 12601 132ND AVE NE <br />(425)814-3124 KIRKLAND, VVA 98034 <br />PROPOSED USE OF BUILDING Bulldinp M <br />PERMIT Combindion PI <br />TYPE D�molilion 31 <br />OF <br />WORK DESCRIPTION <br />5349.00 <br />Removc/licplacc Llcciric Watcr Hcatcr <br />WATER CLOSET <br />BATMTUB <br />LAVATORY (INASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISHWASHER <br />UIUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOP/ETC.) <br />OTHER <br />WORK <br />TYPE <br />767936 <br />rn.r�aio-fl3c� <br />PHONE <br />(425)252-2437 <br />PHONE <br />425 814-3124 x133 <br />CONTR.LICENSE# <br />�ASTWHC052DT <br />02/ 16/2003 <br />LOCAL SALES TN( CODEIS 31 <br />���_ FORCEO AiR SYSTEMS <br />___ HEAT PUMP <br />___ UNIT HF.ATERS <br />___ CLOTHES DRYER <br />_ _ RANGE HOOD <br />� _ WATER HEATER <br />__ METAL FIREPLACElSTOVE <br />_�_ FIREPLACE INSERT <br />_ GAS FIREPLACE <br />GAS RANGE <br />_� GAS PIPING <br />___ EXHAUST FAN <br />--- OTHER------------- <br />� <br />� <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />)R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />>THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />iY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICAl10N IS MADE AND 1 COMPLY WITH TME STATE <br />;ONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />o( OwnedContractor/AWhorized Apeni �=�,� �r,_/-- Dah �0/16/2002 <br />u� .ai <br />