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P�RMIT APPLICATII�N <br /> �✓r� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 636913 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 248 ELM ST,EVERE'CT,WA 98203 00584900100400 /1� O � � d—(7( � <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> JOHNSTON,HELCN Z48 ELM ST <br /> • EVERETT,WA 98203 (425)259-3706 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY t2601 132ND AVE NE FASI'WHC052DF <br /> (425)814-3I24 KIRKLAND,WA 98034 02/1G/2002 <br /> PROPOSED USE OF BUILDING Bulldinp M�ehanl�Ca WQRK Addltion H T SOURCE <br /> PERMIT Combin�tlon Plumbin NNratlon EI�eIAe <br /> TYPE D�molition Slyn TYPE N�w as <br /> R� drlMa�M her <br /> CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Removc/Rcplacc Electric\Vater Hcatcr <br /> MBI MECHANICAL <br /> TY OF I TUR I OF FIXTUR OR ITEM <br /> _____ WATER CLOSET ______ AIC-A/HANDLIN(3 UNITS <br /> __ BATHTUB _�_ FORCED AIR SYSTEMS <br /> ____ LAVATORY pAIASH BASIN) _ MEAT PUMP <br /> ____ SHOWER ___ UNIT HEATERS <br /> __ KITCHEN SINK 6 DISPOSAL ______ CLOTHES DRYER <br /> __ DISHWASH�R _ RANGE HOOD <br /> ____ LAUNDRY TRAY _�__ WATER HEATER <br /> ___ CLOTHES WASHER __ METAL FIREPLACElSTOVE <br /> _ URINAL ___ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ pAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> �__ BACKFLOW PREVENTER __ GAS PIPINO <br /> __ SINK (SERVICEIBARIMOPIETC.) ___ EXNAUST FAN <br /> ____ OTHER ___ OTHER_�__________�__ <br /> 1 HEREBY CERTIFY 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 WMETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTNORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT�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 /> S(gnature of OwnerlContractor/Authorized Apeni ���� �-/.��,� Dets 12��3/200i <br /> u�Nti <br />