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Pt RMIT APPLICATIr �1 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-6810 <br />070306 <br />PARCEL TAX I.D.# PERMIT# <br />4514 OLYMPfC BLVD �3•e, EVfiRFTT, WA 98203 00670600200300 <br />LEGAL LOT NO. BLOCK <br />D <br />OWNER ADDRESS <br />TDR]SS, CHRISTRvA & ABRAHAM 19�9 ���RE AVE <br />• EVERETT, WA 98201 <br />vACANT (CUST MOVNG Tn) <br />CONTRACTOR <br />FAST WATBR HLATER COMPANY <br />(azs)sla-3124 <br />ICONTACT N� <br />PAMELA HILI <br />12601 132Nn nvE NE <br />KIRKLAND, WA 96035 <br />PROP05ED USE OF BUILDINGI I��wiainp <br />PERMIT ComEln�Na <br />TYPE amoliUen <br />Sorintl� <br />CONTRACT PRICE OF WORK S349.00 <br />wORK DESCRIPTION Rcmove/Replacc Elccuic Water Heater <br />BATNTUB <br />IAVATORY (WASH BASIN) <br />SNCWER <br />KI7CNEN SINK 6 OISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />bRIMKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFI.OW PREVENTER <br />SINK (SERVICEIBAR/MOPIETC.) <br />OTMERT __ <br />� ���n7 3 <br />RACT <br />PHONE <br />(425)258�3521 <br />PHONE <br />425 814-3124 a133 <br />CONTR.LICENSE� <br />FASTW WH943BC <br />O]/032008 <br />WORK Addipon H� SOURCE <br />TMPE Nuntlon EI�cMe <br />NNv as <br />_�___ NC•AlFIANDLING UNITS <br />__�_ FORCED AIR SYSTEMS <br />_ HEAT PUMP <br />�� UNIT HEATERS <br />_.�___ CLOTHES DRYER <br />.._ _ RANGE HOOD <br />_.,_, � _ WATER HEATER <br />___ METAL FIREPLACE/STOVE <br />_�__ FIREP4ACE INSERT <br />OAS FIREPLACE <br />__�_ GAS RANCiE <br />�� GAS PIPING <br />_.�.._ EXHAUST FAN <br />___�_ OTHER------------------- <br />I HEREev CERTIFY THAT I N�VE RE.4G AND EXAMINfO THIS APLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVI510N5 OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />OR NOT. 7HE GRANIING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CON57RUC7ioN. iriqT I AMAUTMORIIED <br />BY THE OWNER OK THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE ANO 1 COMPLY WITH TNE S7ATE <br />CONTRI�CTORS LAW �6.27 RCW AND 298.200 WqC. <br />of OwnodContractor/Authorized AQ�nt �_�-�,,... ��r.—�_, j, _. Dat� 07/03R006 <br />ui •v <br />