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, <br /> � .cRMIT APPLICA �N <br /> � CITY UF EVERETT PERMIT SERVICES <br /> 3200 CEUAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 694745 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMITi <br /> 1005 PACIFIC AVE,EVERETC,WA 98201 00437572301101 M G20y�Cb(p <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> PUGET SOUND KIDNEY CENTER ��5 PACIFIC AVE (425)259-5195 <br /> • EVERETT,WA 98201 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 S143124 x133 <br /> CONTRACTOR ADDRESS CONTRLICENSE� <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FAS'fWHCOS2DF <br /> (425)814-3124 ��AND,WA 98034 02/16/2003 <br /> PROPOSED USE OF BUILDINa 0i0d�'o �^'"1O' ��uO^ T souRCE <br /> PERMIT Combin�lbn Plumbinp WORK AlMnton NcMe <br /> TYPE D�mWIUon qp� TYPE N�w • <br /> W HMYnI <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALE3 TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmove/Replace Electric Water Heater <br /> PLUMBING MECHANICAL <br /> O I <br /> � WATER CLOSET �__ AIC-AlHANDLINO UNITS <br /> __ BATHTUB _�_ FORCED AIR SYSTEMS <br /> _Y LAVATORY(WASH BASIN) _ HEAT PUMP <br /> Y SHOWER _� UNIT NEATERS <br /> _� KITCHEN SINK 6 OISPOSAL _ CLOTM6S DRYER <br /> r DISHWASNER RANGE HOOD <br /> _� LAUNDRY TRAY � _ MfATER HEATER <br /> __ CLOTNE8 WASHER __ METAL FIREPLACEIBTOVE <br /> ,_ URINAL _ FIREPIJICE IN3ERT <br /> DRINKING POUNTAIN OAS FIREPLACE <br /> FLOOR ORAIN GAS RANGE <br /> �_ BACKFLOW PREVENTER GAS�I�INO <br /> � SINK (SERVICFJSARIMIOPIETC,) DfNAUBT FAN <br /> r OTMER _�_ OiMER_��_____—��_� <br /> 1 HEREBY CERTIFY THAT I MAVE READ AND E%AMINEO TTi1S APLICATION AND KNOW TME SAME TO 6E TRUE AND CORRECT.All <br /> PROVISIONS OF lAV✓S AND ORDINANCES GOVERNING TFMS TYPE OF WORK WIILlE COMPLIEO WIHT WNETNER SPEGFIEO NERE <br /> OR NOT.T}1E GRANTING OF A PERMIT DOES NOT PRESUME TO 6NE AUTMORITY TO VIOLATE OR CANCEL THE PROVISqN OF ANY <br /> OTMER STATE OR LOCAL UW REGULATING CONSTRUCTION OR TME PERFORMIWCE OF CONBTRUC7ION.TMAT 1 MI AUTMORIZEO <br /> BY THE OWNER Of THIS PROPERTY TO PERFORM lHE WORK FOR WMICH APPLICA710N IS MAOE AND I COMPLY WITM Tf1E ETATE <br /> CONTRACTORS LAW 18.21 RCW AND 288.200 WAC. <br /> Sipn�tun o(Own�r/ContaewrlAuthoris�d Ap�ni D�t� <br /> ��i_��f"-�c^"i' 03/25/2002 <br /> u�ai <br />