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F'�RMIT APPLICATI� IV <br />���� CITY OF EVERETT PERM17 SERVICES //��Z-� <br />` 3200 CEQAFt STREET, EVEFtETT, WA 98201, 425-257-8810 <br />i izios <br />4RCEL TAX I.I <br />?lE hlADlSONST, EVERETT, WA 98Z03 00392000000105 <br />LEGAL LQ NO. B60CK <br />OWNER ADDRESS <br />CALSYiJ, J1M 216 MADiSO`I ST <br />� EVERL•TT, WA 98203 <br />TENANTNAME CONTACTNAME <br />PAMELA HILL <br />CONTRACTOR <br />FAST WATER HEATER COYiPANY <br />PHONE (425)sta-3i2a <br />PItOPOSBD USE OF BUI <br />R449.00 <br />12601 132 V D� A VE NL• <br />KIRKLANf�. WA 98034 <br />DESCRIPTION Remove/Replace das Water Heater <br />BATHTUB <br />LAVATORY (WASM BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNORT TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING fO1JNTAIN <br />F400R DRAIN <br />BACKFLOW PREVFNTER <br />SINK (3ERVICE/BAR/MOP/ETC,J <br />OTHER <br />FlumCing ��K� <br />Slen li'f E <br />cirr <br />�//�3�� <br />PHONE <br />(425)347-0759 <br />PHONE <br />425 614•3124 x137 <br />CONTR.LICENSI <br />FASTWHC052DP <br />02;16/200'1 <br />����� H T SOURC <br />ratlan EI�cMc <br />iL <br />i(flMilfli !f <br />SALES TAX CODEIS 31t <br />_�..,_ FORCED AIR SYSTEMS <br />______ HEAT PUMP <br />�,`.__ UNIT HEATERS <br />���_ CLOTHFS DRYER <br />_ RANGEHOOD <br />_ ��_ WATER HEATER <br />_... ,� METAL FIREPLACEISTOVE <br />_�__ FIREPLACE INSERT <br />_,,,,Y.__ GAS FIREPLACE <br />�_ �_ GAS RANGE <br />__ _ GAS PIPING <br />__.__ EXHAUST FAN <br />�.__ OTHER---------------- <br />HEREBY CERTIFY7HAT � HAVE READ ANp EXP.MINED THIS APLICATION AND KNcIW THE SAME TO BE TRUE AND CORRECT, ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPlIEO WIHT WHETHER SPBCIFIED NERE <br />>R NOT. T}iE Gf�AN71NG OF A PERMIT DOES NOT PRESUME TO GNE AUTNORIT' TO VIOLA7E OR CANCEI THE PROVISION OF ANY <br />)THER STATE OR IOCAL LAW REGUL4TIN0 CONSTRUCTION OR THB PERFORMtwCH OF CONSTRUCTION. THAT IAM AUTriORiZED <br />IY TNE OWNER OF iH�S FRGPBRiY TO PERFCFM T1iE LVORK FOR YJHICH APPIiCATION IS MA�E AN01 COMPLY WITH TNE SiAYE <br />:ONTRACTORS lAW 1B.2T RCW AND 296.200 WAC. � - - - � � � � � - - <br />nature of OwnadContraator/Authorized Ayani ��:r-�_ l2�� •�. /,-• Dua � �,222Q05 <br />m o:i <br />