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Pr�RMIT APPLICATi� N <br /> �J��� CITY OF EVERETT PERMIT SERVICES <br /> �� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK I550 <br /> SITE ADDRESS PARCEL TAX I.D.* PERMIT# <br /> 9530 1 AVE SE,EVERETT,WA 98208 00480200502001 <br /> 0�� Q � <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> CHURCH,DONNA 9530 1 AVE SE <br /> • EVERETT,WA 98208 (425)265-0064 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> rAST\VATER HEATGR COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3124 ���+LAND,WA 98034 02/16/2005 <br /> PI20POSED USE OF BUILDING euuamo M.on.nio. WQRK �ddwon H T souRCE <br /> PERMIT Combin�Non Plumbinp Nbratlon N�t�� <br /> TYPE O�mollUon Sipn TYPE N�w aa <br /> R� alrlMtlnt har <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 7105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Gas Watcr Hcatcr <br /> BI MECHANICAL <br /> NO. TYPE OF IXTUR ITEM OF XTU R ITE <br /> __ WATER CLOSET ______ AIC-AIHANOLINO UNITS <br /> __ BATHTUB _�__ FORCED AIR SYSTEMS <br /> _�_ LAVATORY(WASH BASIN) _�_ HEAT PUMP <br /> � SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 3 DISPOSAL ____ CLOTHES DRYER <br /> __ DIBHWASHER _ RANGE HOOD <br /> ___ LAUNDRY TRAY � _ WATER HEATER <br /> __ GLOTHES WASHER __ METAL FIREPLACE/STOI ' <br /> _ URINAL _�_ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> �_ BACKFLOVV PREVENTC i __ GAS PIPINfi <br /> __ SINK (SERVICEIBARIMOPfETC.) ___ EXHAUST FAN <br /> ____ OTHER ___ OTHER_��_________ <br /> 1 HEREBY CERTIFY THAT 1 HAVE RE.�D AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPlIEO WIHT WMETHER SPECIFIEO HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOChL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.T}iAT IAMAUTMORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COFAPLY WITN TME STATE <br /> CONTRACTORS LAW 78.27 RCW ANO 296.200 WAC. <br /> Sipnaturo o(OwnedCantractor/Authori:ed Apent �J��`�� ���� 09/IS/2004 <br /> u�.wei ` <br />