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�- � ERMIT APPLICA�.JN <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 017881 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 335 HEATHER RD#304,EVERE7T,WA 98203 00869533530400 �'Y103 Gy-�p(o <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> ANDERSON,JASON 335 HEATHER RD#304 <br /> • EVERETT,WA 98203 (425)252-3845 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x 133 <br /> CONTRACTOR AL+DRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY 12601 I32ND AVE NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16!'L005 <br /> PROPOSED USE OF BUILDIWG euuatoo M•ehantea naatuon H T SouRCE <br /> PERMIT ComblmGon Plumbirp WORK N�w�no� Notrlc <br /> TYPE D�molilion Sipn TrPE N�w aa <br /> r R� alrlMainl e� <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK pESCRIPTION Remove/Replace Elcctric Watcr Hcatcr <br /> PLUMBING MECHANICAL <br /> NO. TYP OF FIXTUR ITEM TYP OF XTUR R ITEM <br /> _____ WATER CLOSET ______ AIC•A/HANOLING UNI7S <br /> ____ BATHTUB _�_ FORCED AIR SYSTEMS <br /> ___�__ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> �_ SHOWER ___ UNIT HEATERS <br /> _____ KITCHEN SINK $ DISPOSAL ______ CLOTHES DRYER <br /> ___�_ DISHWASHER _ RANGE FIOOD <br /> _____ LAUNDRY TRAY _ 1 _ WATER i1EATFR <br /> ____ CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> ___ URINAL ______ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RANfiE <br /> ____ BACKFLOW PREVENTER ___ GAS PIPIN6 <br /> _� SINK (SERVICEIBAR/MOP/ETC,) ___ EXHAUST FAN <br /> ---- OTHER _,_ OTHER_��-�------,� <br /> I HEREBY CERTIFY THAT I MAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AU�HORITY TO VlULATE OR CANCEL 7HE PROVISpN OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY TNE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHiCH APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Signatura ot OwnedControetodAuthorized Apeni ����� ���f.�j-- Dats 04/01/2003 <br /> u�vti <br />