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' PERN;IT i4PPLIC�, �ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> o i szoa <br /> SITE ACl{)RESS PARCEL TAX I.D.# PERMIT� <br /> 1902 HOl'T AVG, GVGRBTT,N'A 98201 00437037703100 <br /> ()1 o3os-�a <br /> IEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> LI\DSAY.RICHARDSCIIGRI'L �%'021101'TAVL <br /> • EVBRL•TT,\VA 98201 (425)259-9204 <br /> TENANT NAME CONTACT NAME PHOtdE <br /> PA�4LLA 111LL 425 814•3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST N'ATER HGATER COMPANI' 12G01 132ND AVL' Nfl rASTWHC052DF <br /> (425)814-3124 KIRKLAND,IVA 98034 02iIG/2005 <br /> PRQPOSED USE OF BUILDING au��d�np Macnan�ca WORK Add�tlon HEAT SOURCE <br /> PERMIT Combinalion Plumbinp - Altsratlon EI�cMe <br /> iYPE Damolilion Slgn TYPE New �c <br /> S rinkl r Re alrlMatnl iher <br /> CONTRACT PRICE OF WORK S449.00 CITY OF EVERETT LOCAL SALES T/U(CODEIS 3105 <br /> WORK DESCRIPTION <br /> Rcmovc/Rcplacc Gas\5'atcr I lcatcr <br /> UMBIN MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM �IO. TYPE OF FIXTURE OR ITEM <br /> _____ WATER CLO5ET ______ A1C•A/HANDLING UNITS <br /> _,_ BATMTU6 _,__ FORCED AIR SYSTEMS <br /> _�_ LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> �_ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 8 DISPOSAL ____ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RANGE HOOD <br /> ___ LAUNORY TRAY _^�__ WATER HEATER <br /> __ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> _ URINAL _____ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _____ GAS FIREPLACE <br /> ` FLOOR DRAIN __�_ GAS RANGE <br /> ___ BACKFLOW PREVENTER __ GAS PIPING <br /> __ SINK (SERVICEIBAR/MOPIETC.) ___ EXNAUS7 FAN <br /> �___ 07HER_ �_____ OTHER______ <br /> 1 HEREBY CER7IFY THAT I NAVE READ AND EXAMIN'cD THIS APLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK V:iLL PE COMPLIED WIHT WMETHER SPEC�FIED HEREI <br /> OR NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOfti'r t�.���IOIATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LhW REGULATING CONSTRUCTION OR TNE PERFO•����%�'+�E OF CONSTRUCT:ON.TNAT I AM AUTHORIZED <br /> BY TME OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPUCATION IS hV+CE AND I COMPLY WITFI THE STATE <br /> CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> Sipnatura of OwnodContractorlAuthorizud AgeN i�_.��- ��l�,f- Date OSl13i2003 <br /> Ui MI <br />