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Pt �RMIT APPLICATIC N <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> c�us�o <br /> SITE ADDRESS PARCEL TAl(I.D.� PERMIT� <br /> 1625 ORCA VIEW LN,EVERETT,WA 98203 00733800002700 (nn �, /� f�� <br /> � ► c'f -V <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> PRICE,MARY 3c HOW.L.tD 1625 ORCA VIEW LN (425)348-3320 <br /> • EVERETT,WA 98203 <br /> TENANT NAME CONTACT NAAIlE PHONE <br /> PAMELA NILL 425 8143124 x133 <br /> CONTRACTOR ADORESS CONTR.LICENSFA� <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814•3124 ��LAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING �RMIT cwom�wn°.ron i�ei„o wo� �� T aO�RCE <br /> rrPe o.�ouro� aae TM� rww . <br /> CONTRACT PRICE OF WORK 5449.00 CIiY OF EVERETT LOCAL fAL�f TAX CODEIS]10S <br /> WORK DEiCRIPTION Rcmovc/Rcplacc Gas Watcr Hcatrr <br /> eLUMBING � <br /> __ WATER CLOSET _�__ AIC,AMANDLMlO UNIT8 <br /> __ BATHTUB ___ FORGED AIR sYSTEMB <br /> ___ LAVATORY(WASM BASIN) _ MEAT MUMP <br /> SNOWER __ UNIT MEATERE <br /> KITCNEN SINK i DISP08AL _�_ CLOTMEi DRYER <br /> � DISHWASMflR _ RANGE MOOD <br /> _� IAUtJORY TRAV � _ WATER NEATER <br /> w CLOTMEE WASHER __ METAL flREr1.ACEl3TOVE <br /> _ URINAL _�_ FptEPLACE INaERT <br /> � ORINKING FOUNTAIk _ OAt fIREr6ACE <br /> FLOOR DRAIN GAf RANGE <br /> �_ SACKFLOW PREVENTER CAi MMNO <br /> � 81NK (SERVICElBARIMOPlETC.) ___ EXMAUiT fAN <br /> � OTMER _�_ OTTIER� _ <br /> 1 MEREBY CERTIFY THAT I HAVE READ AND EIUMINED TMIS APLICATION AND KNOW THE SAME TOlE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL!E COMPl1E0 WIMT WMETMER SPEGFIED MERE <br /> OR NOT.THE GRANTING OF A PERMlT DOES NOT PRESUME TO 6NE AUTMORITY TO VIOLATE OR GWCEL TF1E PROVISqN OF ANY <br /> OTMER STATE OR IOCAL LAW REGUUTING CONSTRUCTION OR TME PERFORMIWCE OF CONSTRUCTION.TMAT I AM AUTMORIZED <br /> BY THE ONMER OF THIS PROPERTY TO PERFORM iHE WORK FOR WHICH APPLICATION IS MAOE A!q 1 COAWLY WITM TME STATE <br /> CONTRACTORS LAW 18.2�RCW AND 286.200 WAC. <br /> Slpn�lun of Own�rlContacwrlAuthorls�d Ap�ni ���—lLC� D�t� �y�Z��2004 <br /> p1 ql <br /> 1 <br /> _ � . . . . ... .. � <br /> � <br />