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I � ,cRMIT APPLICAT t�N <br /> ��;� CITY OF EVERETT PERMIT SERVICES <br /> `� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-88i0 ! <br /> 702962 j <br /> �lTE ADDRESS PARCEL TAX I.D.# PERMIT# � <br /> I <br /> 1527 ROCFL�FELLER AVE,EVERETf,WA 98201 00553631900900 D1C4 -G,.30 <br /> LEGAL LOT NO. BLOCK TRACT ' <br /> OWNER ADDRESS PHONE ' <br /> ]ACKSON,RODGER 1527 ROCKEFELLBR AVE <br /> • EVERETT,WA 98201 (425)339-5190 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL q25 814-3124 x133 ! <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3I24 KIRKLAND,WA 98034 02/16/2003 <br /> I <br /> PROPOSED USE OF BUILDING Bulldinp M�ehanlu „ nddiuon H T SOURCE ' <br /> PERMIT Combin�Hon Piumbinp WQ^K Nt�ntlon Netdc � <br /> TYPE D�molllian 8�yn TMPE New aa � <br /> R� airlMsint her <br /> CONTRACT PRICE OF WORK S449.00 CITY OF EVERETT LOCAL SALE$7AX CODEIS 3105 <br /> WORK DESCRIPTION Removc/Eteplacc Gas Watcr Hcatcr ,l <br /> �� <br /> PLUMBING MECHANICAL j <br /> OF TU I M OF UR RITEM C <br /> __ WATER CLOSET _�___ AIC•AfHANDLIN6 UNITS � <br /> _,_____ BATHTUB »_ fORCED AIR SYSTEMS i <br /> ___ LAVATORY (WASH BASIN� ___ HEAT PUMP <br /> � SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 6 DISPOSAL _�_ CLOTHES DRYER <br /> __ DISHWASHER _ RANGE HOOD <br /> ___ LAUNDRY TRAY _ 1__ WATER HEATER <br /> __ CLOTHES WASHER __ METAL FIREPLACElSTOVE <br /> _ URINAL _�_ FIREPLACE INSERT <br /> _ ORINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE � <br /> BACKFLOW PREVENTER GAS PIPINO <br /> __ SINK (SERVICEIBAR/MOP/ETC.) __ EXHAUST FAN ��� <br /> __ OTHER _^_ OTHER__�_��___�_� <br /> --- — --- --- — ---- --- I <br /> ��HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI t!SAPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL I <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION QR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTMORI2ED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO t COMPLY WITH TME STATE <br /> CONTRACTORS l AW 18.27 RCYJ ANO 296.20U WAC. <br /> Siynalura o(OwnedContractorlAulhorfzed Ayem �-iir �/��' ���� 04/15/2002 <br /> UI Mll <br />