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� ERMIT APPLICAR- �N <br />�CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK 1784 <br />SITE ADDRESS PARCEL TAX I.D.�k PERMIT� <br />3401 GRAND AVE, GV[RETT, WA 98201 00437582500102 /� /�_0� <br />f�� <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER AODRESS PHONE <br />BARKER, IOANNA 13325 MGRIDIAN PL W (425)745-0174 <br />• EVERETT, WA 98208 <br />TENANT NAME CONTACT NAME PHONE <br />MACY, CAROLE pAMELA HILL 425 814-3124 x 133 <br />CONTRACTOR ADDRESS CONTR.LICENSEA� <br />FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br />(425)814-3124 KIRKLAND, WA 98034 02/16/2005 <br />PROPOSED USE OF BUILDING ewm�np M�eh�n�a WORK �d�uO" H T 30URCE <br />PERMIT Combin�Non Plumbl Alt�ratlon Nctrie <br />TYPE D«nolltlon g�p� TYPE � a� <br />R� rMtlnt r <br />CONTRACT PRICE OF WORK �4q9.00 CITY OF EVERETT LOCAL SALES TAl( CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace Gas Water Heater <br />PLUMBING MECNANICAL <br />OF FI TUR ITE OF XTU R ITE <br />______ WATER CLOSET ______ AIC-A/HANOLIN(3 UNITS <br />___ BATHTUB ______ FORCED AIR SYSTEMS <br />_�_ LAVATORY (INASH BASIN) _�_ HEAT PUMP <br />� SHOWER ___ UNIT HEATERS <br />___ KITCNEN SINK d� DISPOSAL _�_ CLOtNES 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 RANdE <br />___ BACKFLOW PREVENTER __ GAS PIPINO <br />_� SINK (SERVICFJBARIMOPIETC.) ___ EXHAUST FAN <br />� O7HER _�_ OTHER______ __�_ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WNETHER SPECIFIED MEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMlWCE OF CONSTRUCTION. TMAT I AM AUTFIORIIED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO I COMPIY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br />Sipnaturo ot OwnerlContnetorlAuthorized Apent �,._�� �� i�� "� /- D�N ���g02004 <br />u� �ri <br />