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,-�- �� .�ERMIT APPLICA�-10N <br /> ��r� CITY OF EVERETT PE�MIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-6810 <br /> oi�ni <br /> SITE ADORESS PARCEL TAX I.D.# PERMIT# <br /> 2119 MONROE AVE,EVERET':',WA 98203 OOS�5002603100 m �3p3_ O � � <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNEFt ADDRESS PHONE <br /> KHEANG,TAN 2119 MONROH AVE (206)919-2356 <br /> • EVERETT, WA 98203 <br /> TENANT NAM� CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 a133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE .�if BUiLDING 8u11a��o M�ohanloa WORK �d�aO" H T SOURCE <br /> PERMIT ComhlnaBon Plumbinp AlNntlon NcMc <br /> TypE OemoliRon Sipn TMPE N�w as <br /> R� aldMalnt ar <br /> CONTRACT PRICE OF WORK S's49.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION kcmovc/Rcplacc Elcctric Watcr Hcatcr <br /> M I M CH�NICAL <br /> NO. TYPE OF FI TURE OR ITEM p. P OF IXTU R 17EM <br /> __ WATER CLOSET ______ AIC-A/HANDLING UNITS <br /> ___ BATHTUB _�_ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _�_ HEAT PUMP <br /> �_ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 6 DISPOSAL _�_ CLOTHES DRYER <br /> _� DISHWASHER _ RANGE H000 <br /> ___ LAUNDRY TRAY _�__ WATER HEATER <br /> �_ CLOTHES WASHER ___ METAL FIREPIACE/STOVE <br /> � URINAL _,_ FIREPWCE INSERT <br /> � DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR QRAIN _ GAS RANGE <br /> BACKFLOW PREVENTER _� GAS PIPINfi <br /> __ SINK (SERVICEIRAR/MOPIETC,) ___ EXHAUST FAN <br /> __ OTHER_ _�_ OTHER_r___�____�_^ <br /> I HEREBY CERTIFY TW1T I HAVE READ AND E%AMINED THIS APLICA710N 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 SPECIFIED HE�?EI <br /> OR NOT.TFIE GRANTING OF A PERMIT DOES NU7 PRESUME TO GM1'E AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TliAT 1 AM AUTMORIZED <br /> 0Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTRICTORS LAW 18.27 RCW ANU 296.200 WAC. <br /> SlgnaWra o(OwnedContraetorlAuthorized Ageni ��___,_��_ �f�.j— Dat� �3/06/2003 <br /> UI MII <br />