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From: 10/11/2000 12:24 0170 P.002/005 <br />PERMIT APPLICATION <br />ia_i2-off <br />CITY OF EVERETT PERN41T SERVICES <br />` 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />101106 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />115 MADISON ST, EVERE77, WA 98203 <br />00371400000300 <br />Ivlvtol -� <br />LEGAL <br />LOT NO. <br />BLOCK TRACT <br />- D C. <br />OWNER <br />ADDRESS <br />PHONE <br />GALVIN, MELANIE <br />1.115 MADISON ST <br />(425)347-4708 <br />EVERETT', WA 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PAMELA HILL <br />425 814-3124 x133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />FASTWWH948BC <br />KIRKLAND, WA 98034 <br />01/030-008 <br />PHONE (425)814-3!24 <br />PROPOSED USE OF BUILDING <br />PEiRMIT <br />6ugdtnp Machon ca <br />WORK <br />Adcltton <br />Alleratlon <br />HEAT SOURCE <br />[Electric <br />TYPE <br />Combinatlon Plumbing <br />Demollllan Stpn <br />TYPE <br />Nnw <br />as <br />I <br />Swinkler <br />Re alrlMainY <br />Cher <br />CONTRACT PRICE OF WORK $449.00 <br />CITY OF EV2RETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace Gas Water Heater <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO.� TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />______ <br />AIC-A/HANDLING UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />____ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />__ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <br />_�__ <br />WATER HEATER <br />-CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />_^_ <br />FIREPLACE INSERT <br />__` <br />DRINKING FOUNTAIN <br />_ <br />GAS FIREPLACE <br />FLOOR DRAIN <br />_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICEIBAR/MOP/ETC.) <br />I <br />EXHAUST FAN <br />---- <br />OTHER---- <br />----- <br />OTHER----•-----------__ <br />I 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 N!ILL BE COMPLIED WIHT WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Owncr/Contractor/Authorizod Agont�`r--r Date 10/ 11/2006 <br />a o¢, <br />