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i <br /> P�"'RMIT APPLICATI� N ;; <br /> ���� CITY OF EVERETT PERMIT SERVICES :' <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 ! <br /> CK l S33 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1402 ROCKEFELLER AVE,EVERETT,WA 98201 00438529103100 (/�/� Q ��� I <br /> � v � <br /> LEGAL LOT NO. BLOCK TRACT � <br /> OWNER ADDRESS PHONE ' :) <br /> GILES,BONNIE 1402 ROCKEFELLER AVE (425)339-3349 <br /> • EVERETT,WA 98201 <br /> TENANT NAME CONTACT NAME PHONE � <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# ; <br /> FAST N'ATER HEATER COMPANY 12601 132ND AVE NE FASTWHCQ52DF '� <br /> KIRKLAND,MA 98034 02/16/2005 <br /> (425)814-3124 li <br /> ,� <br /> PROPOSED USE OF BUILDING suudtnp M.ch.m�ca WQRK naatuon H T SouRCE <br /> PERMIT Combin�tlon Plumbin Altmtlon I�etAe <br /> rrre wmouu�� sk,� TYPE N.w .. <br /> R� alrlMdnl ar <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Rcplace Electric Water Heater <br /> UPL MBING MECHANICAL <br /> TY OF I TU ITE OF UR R ITEM <br /> ___ WATER CLOSET AIC-AIHANDLINO UNI7S <br /> �_ BATHTUB »__ FORCED AIR SYSTEMS � <br /> _�__ LAVATORY (WASH BASIN) HEAT PUMP " <br /> ___ SHOWER i UNIT HEATERS � <br /> ___ KITCHEN SINK S DISPOSAL _^_ CLOTHES DRYER <br /> _�_ DISNWASHER RANGE HnOD ` <br /> ___ LAUNDRY TRAY � _ WAT[R Hl•J1TER t' <br /> ____ CLOTHES WASHER METAL FIREPLACEfSTOVE ` <br /> _ URINAL _� FIREPLACE INSERT S <br /> _ DRINKING FOUNTAIN _ OAS FIREPLACE ; <br /> FLOOR ORAIN GAS RANGE <br /> ___ BACKFLOW PREVENTER __ GAS PIPINO <br /> � SINK (SERVICEIBAR/MOPfETC,) ___ EXHAUST FAN <br /> � OTHER ___ OTHER_____�____W_ <br /> I HEREBY CERTIFY THAT I HAVE READ AND El(AMINED THIS APLICATION AND KNOW Ti1E SAME TO BE TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETMER SPECIFIED HEREIfa <br /> OR N07.TTiE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEI THE PROVISpN OF ANY ` <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS FROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.2U0 WAC. <br /> Sipnaturo of OwnedControctor/Authorized Ayent �������� D�t� 09/l•�/2004 � <br /> ui►ai � <br />