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��.'ERMIT APPLICA'�,ON <br />��r�CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE <br />I.D.# <br />3223 ROCKEFELLER AVE, EVERETT, WA 98201 00814800000100 <br />LEGAL LOT NO. BLOCK <br />OWNER ADDRESS <br />NICHOLS, PHILIP ��-3 ROCKEFELLER AVE <br />• F.VERETT, WA 98201 <br />TENANT NAME <br />PAMELA <br />CONTRACTOR IADDRESS <br />FAST WATER HEATER COMPANY 12601 132ND AVE NE <br />(425)814-3124 <br />KIRKLAND, N'A 98034 <br />PROPOSED USE OF BUILDING ewmioo <br />PERMIT Combinatlon <br />TYPE D�moliWn <br />CONTRACT PRICE OF WORK 5449.00 <br />WORK DESCRIPTION Rcmovc/Replacc Gas \Vatcr Heatcr <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCNEN SINK 6 DISP�SAL <br />DISHWASHER <br />LAUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BARIMOP/ETC.) <br />OTFiER <br />OF <br />� <br />oi soas <br />PHONE <br />(425)258-2143 <br />PHONE <br />425 814-3124 x133 <br />CONTR.LICENSE� <br />FAST W HC052DF <br />02/ l6/2005 <br />WORK N��� <br />7YPE New <br />SALES TAX CODEIS 3105 <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CL07HE3 DRYER <br />RANGE HOUD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGF. <br />GAS PIPINt3 <br />EXHAUST FAN <br />OTHER_�___________ T <br />HEREBY CER7IFY THAT I HAVE REP�D AND EXAMINED TFiIS APLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />'ROVISIONS OF LAWS AND ORDINAIJCES GOVERNING THIS TYPE CF WORK WILL BE COMPLIED WIHT WNETHER SPECIFIED HERE <br />IR NOL THE GRANTING OF A PERMIi DOES NOT PRESUTAE TO GNE AUTHORITY TO VIOLnYE OR CANCEL THE PRCVISION OF ANY <br />ITHER STATE OR LOCAL LA�V REGUiATING i.ONSTRUCTION OR THE PERFORMANCE Of CONSTRUCTION. THAT 1 AM AUTHORIZED <br />�Y THE OWNER OF THIS PROF'ERTY TO PERFORM THE WORK FOR WHICH APFLICATION 13 MADE ANO I COMPLY WITH TME STATE <br />:ONTRACTORS LAW 18.27 RCW ANO 298.20D WAC. <br />of OwnedContractodAuthorized AgaN ��G� ��� <br />Dat� 04/22!2003 <br />u� w�i <br />j�o 3 b�l—d38' <br />