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� cRMIT APPLICAT`�JN <br /> � CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201, 425-257-8810 <br /> 698750 <br /> SITE AGDRESS PARCEL TAX I.D.� PERMIT� <br /> 11007 PAlNE FIELD WAY,EVERETT,WA 98204 0087.7200000700 _ 15 <br /> LE6AL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> ANSDELL,CORRINE ����pA�E FIELD WAY (425)355-9113 <br /> • EVERETT.WA 98204 <br /> TENANT NAME COIiTACT NAME PHONE <br /> PAMELA HILL 47.5 814-3124 x 133 <br /> CONTRACTOR ADGRESS CONTR.IICEN8Et <br /> FAST WATER HEATER COMPANY 12601 132TID AVE NE FASTWHC052DF <br /> (C](tRLpND,WA 98034 02I16I2003 <br /> (425)814-3124 <br /> PROPOSED USE OF BUILDING �'� �"'0A"� ��^ H T SOURCE <br /> PERMIT Comblmlbn �IumONq �� A1Mnfon MeMc <br /> rnE p��yon � TYPE �r �s <br /> � <br /> CONTRACT PRICE OF WOFK 5449.00 CIT11 OF EVERETT LOCAL SALEE TAX CODEIS 7105 I <br /> i <br /> WORK DEBCRIPTION Rcmo��c/Replacc Gas Warer Heatcr <br /> I <br /> pLUMBING ��4 <br /> OF TU I <br /> WATER CLOSET ��__ NCrNNANOlIHO UNITS <br /> BATMTUB �`_ FORCED AIR 8Y3TEMS <br /> LAVATORY(WA3H BASIN) ___ MEAT �UMP <br /> � SHOWER �� UNIT MEATERS <br /> r KITCHEN SINK 3 OISPOSAL _ CLOTHES DRYER <br /> DISHWASHER _ RANGE HOOD <br /> � LAUNDRY TRAY � WATER MEATER <br /> � CLOTHES WASHER __ METAL FIRErLACFJSTOVE <br /> � URINAL ___ FIREPLACE INSERT <br /> DRINKI�IG FOUNTAlN _ OAS FIREPLACE <br /> FLOOR DRIUN �s �� <br /> BACKFLOW PREVENTER �s���� <br /> SINK (SERVICEIBARlMOPIETC.) ___ D(HAUST fAN <br /> � OTMER_ --- OTNER_��-------- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICA710N AND KNOW TME SAME TO BE TRUE AND CORRECT.All <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL dE COMPLIED WIHT WMETMER SPEGFIED MEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEI THE PROVISqN OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMIW CE OF CONSTRUCTION•THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF TMIS PROPERTY TO PERFORM 7?1E WORK FOR WliICH APPLICATION IS MADE AND 1 COMPLY WITM TNE STATE <br /> CONTRACTORS LAW 18.27 RCW AND:98.200 WAC. <br /> Sipn�lun of Own�rlContaetorlAulhoris�d Ap��i �,-%��/��� ���� pq�p3�ZppZ <br /> ui«n <br />