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�-�� � cRMIT APPLICAT�JN <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 018980 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1932 OAK[S AVE,GVERETT,WA 98201 00437938101702 M o 3 a 9-G 33 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> SIMARD,MARK 130G0 I 1 AVE NE (20G)362-0936 <br /> • SEATTL[,VVA 98125 <br /> TENANT NAME CONTACT NAME PHONE <br /> MARY JO PAMBLA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST 1VATER fiEATHR COMPANY 12601 132ND AVH NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING eu�minp M�ch�ni�Ca WORK Addltion H T SouRCE <br /> PERMIT Com6inalion Plumbin Alt�ratlon I�etric <br /> TYPE D�molition Slpn TYPE N�w as <br /> r r R� alrlMtlnl er <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Gas Natcr licatcr <br /> UM I MECHANICAI <br /> NO. TY E OF FI TURE OR ITEM OF FIXTUR R ITEM <br /> _____ WATER CLOSET ______ A/C-AIHANDLING UNITS <br /> __ BATHTUB �____ FORCEO AIR SYSTEMS <br /> _�_ LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> __� SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 8 DISPOSAL _____ CLOTHES DRYER <br /> __ DISHWASHER __ _ RANGE HOOD <br /> ___ LAUNDRY TRAY _�_ WATER HEATER <br /> __ CLOTHES WASHER _! METAL FIREPLACElSTOVE <br /> � URINAL _�_ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN ___ OAS FIREPLACE <br /> FLOOR ORAIN _ GAS RANGE <br /> ___ BACKFLOW PREVENTER __ GAS PIPING <br /> _� SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br /> ____ OTHER_ _�_ OTHER_____�__��_______� <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILlBE COMPLIED WIHT WNETHER SPECIFIEO MEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTNGRITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WI7H THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signature oi OwneNContractorlAuthorizad Agenl �� ���G� Date 09/17/2003 <br /> ui.ai <br />