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i�cRMIT APPLICATI�.N <br />��i?� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE <br />4RCEL TAX I.D.# <br />2316 MCllOUGALL AVE, EVERETT, WA 98201 00439149502500 <br />LEGAI LOT NO. BLOCK <br />OWNER ADDRESS <br />DODD, HARItY 231 G MCDOUGALL AVG <br />• BVER6TT,IVA 9820I <br />TENANT NAME CONTACT NAME <br />DON T PAGE TT SAM PAMELA HfLL <br />CONTRACTOR ADDRESS <br />rAST �VATER HEATER COMPANY I2601 132ND AVE NE <br />(425)814-3124 <br />PROPOSED USE OF <br />CONTRACT <br />KIRKLAND, \VA 98034 <br />PERMIT <br />5349.00 <br />DESCRIPTION Rcmovc/Rcplacc Elcctric Natcr Flcatcr <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />PIum0lnp �r"Ri <br />Slyn TYPE <br />� <br />018980 <br />PERMIT# <br />M. (� 309-0��. <br />PHONE <br />(425)252-5997 <br />PHONE <br />425 814-3124 x133 <br />CONTR.UCENSE� <br />FASTWHW52DF <br />02/16/2005 <br />ddition H AT SOURCE <br />Ileratlon Nctric <br />�w as <br />� alrlMaint her <br />�L SALES TAX CODEIS 3105 <br />A/C•AIHANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HFATER <br />METAL FIREPLACE/S70VE <br />FIREPLACE IN$ERT <br />GAS FI;tEPLACE <br />GAS RANGE <br />GAS pIPING <br />EXHAUSTFAN <br />OTHER____�____��___ <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br />'ROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE <br />>R NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />>THER STATE OR LOCAL LAW REGULAI'ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />iY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPIY WITH TME STATE <br />:ONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br />of OwnadContractorlAuthorized AgeN � `/' <br />��G—�t--G%� <br />Date 09/17/2003 <br />LL�I MI <br />