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�. PERMIT APPLIC� TION <br /> ��r� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, cVERE?T, VVA 98201, 425-257-8810 <br /> 019425 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2129 MAPLE S'C,EVERETT,WA 98201 2905200010I200 }�da(a� �C��P <br /> LEG��L LOT NO. BIOCK TRACT <br /> OWNER ADDRESS PHONE <br /> COLBERT,JOHN Z�Z9 MAPLE ST �-5076 <br /> • EVERETT,WA 98201 (425)25_ <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA HILL 425 814-3124 x 33 <br /> CON;RACTOR ADDRESS CONTR.UCEWSE# <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3124 !QRKLAND,WA 98034 02/16/2005 <br /> P►20POSED USE OF BUILDING Buua��o M.cn.nica WORK Add����� H r souRCE <br /> PFRMIS' Combinafion Plumbinp Nlr:ratlon Netric <br /> 7YPE Mmolilion Sipn TYPE New as <br /> R� tlrlMalnt her <br /> CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Elcctric Watcr Hcatcr <br /> PLUMBING MECHANICAL <br /> N . TY OF FIXTURE R ITEM O PE OF IXTUR R ITEM <br /> __ WATER C:.OSET ______ AIC•AlHANDLING UNITS <br /> ___ BATHTUB �___ FORCED AIR SYSTEMS <br /> _� LAVATORY(IAfASH BASIN) ___ HEAT PUMP <br /> � SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 6 DISPOSAL ____ CLUTHES ORYER <br /> _� DISHWASHER _ RANGE !'OOD <br /> ___ LAUNDRY TRAY � _ WATER hEATER <br /> A_ CLOTHES WASHER _� METAL FIREPLACEISTOVE <br /> _ _ URINAL _r_ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ GAS FIREPLACE <br /> FLUOR DRAIN _ GAS RANGE <br /> �_ BACKFLOW PREVENTER __ GAS PIPIN6 <br /> � SINK (SERVICEIBAR/MOPIETC.) _�_ EXHAUST FAN <br /> _�_ O'HER __� OTHER___�___�_______^ <br /> I HEREOV CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOP.�WiL!-PE COMPUED WIHT WNETHER SPEGFIED HEREI <br /> OR IJOT.THE GRANTING OF A Pf_RMIT DOES NOT PRESUh1E TO GNE AUTi10RITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEF'.STATE OR LOCAL LAW FtEGULA7ING CONSTRl�CT101:OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED <br /> BY THE OWNER OF THI6 PROPERTY TO PERFORM THE�'YORK FOR WHICH APPLICATION IS MADE AN01 COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Sipnature of OwnedContractor/A�:tiorized Ayani �p� ��'{�� Dat� ���z5/2003 <br /> UI NI <br />