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PC�RMIT APPLICATIC N <br /> ��r� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK2099 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT# <br /> 10227 MERIDIAN AVE,EVERETT,WA 98208 003969U0004301 �OSO 3-O/'� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> ELLEFSON,TAMARA 10227 MERIDIAN AVE (425�38-1669 <br /> • EVERETT,WA 98208 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA HILL 425 814-3124 x 133 <br /> CONTRACTOR ADORESS CONTR.LICENSE#� <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/2007 <br /> PROPOSED USE OF BUILDING eulldtnp M�ehan�a W�RK Iwd�tion H T SOURCE <br /> PERMIT Com6lmNon Plumbl Albntlon keldc <br /> rrPe O�mditbn sk,� TYPE N.w ,. <br /> R� NMalnt er <br /> CONTRACT PRICE OF WORK �449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS ]105 <br /> WORK DESCRIPTION RemovelReplace Gas Water Heater <br /> PLUMBING MECNANICAI <br /> OF TU ITE OF XTUR R ITE <br /> __ WATER CIOSET __..___ AIC•AMANOLIN6 UNITS <br /> �_ BATHTUB _��_ FORCED AIR SYSTEMS <br /> _�_ LAVATORY ryVASH BASIN) _ NEAT PUMP <br /> Y SHOWER ___ UNiT HEATERS <br /> ___ KITCHEN SINK 6 DISPOSAL _,_ CLOTMES DRYER <br /> _! DISHWASFIER _ RANGE HOOD <br /> ___ LAUNORYTRAY �__ WATERHEATER <br /> __ CLOTHES WASHER _^ METAL FIREPLACEISTOVE <br /> _ URINAL _�_ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN _ OAS FIREPLACE <br /> + F400R DRAIN _! GAS dN(3E <br /> ___ BACKF�OW PREVENTER __ �iAS MIPIN6 <br /> _� SINK (SERVICEIBARIMOPIETC.) ___ EXHAUST FAN <br /> --__ OTHER ---- OTHER-�----�----�-- <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS APIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WIHT WHETHER SPEC�FIED MEREI <br /> OR NOT.T11E GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISpN OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.TMAT 1 AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WMICH APPLICATION IS MAOE AND 1 COMPLY WITH TFIE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296.20D WAC. <br /> Signature oi OwnedContnctor/Authorized Apenl ,���=�� �'� /. D�N 03/03/2005 <br /> UI NI <br /> Moso3-o��( <br />