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i a- <br /> ,.�.. �ERib'lIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> �._E� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> SITE ADDRESS PARCEL TAX I.a.# PERMIT# <br /> 4925 View Dr 00605700001700 m 0 � � �-Dlso <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DESC. <br /> OWNER ADDRESS PHONE <br /> Leslie/Richard 4925 Viex Dr 4z5- <br /> McKenzie Everett WA 98203 258-9813 <br /> TENANTNAME CONTACTNAME PHONE <br /> Pamela Hill 425-814-3124x1 3 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> Fes�Water Heaters Company <br /> 12601 132nd Ave. N.E. <br /> 4258143124133 Kirkland WA 98034 FASTWHC052DF <br /> Building Machenica Addition HEAT SOURCE <br /> PROP�SED USE OF BUILDING WORK q�tereeon e�ec��c <br /> PERMIT Combination Plumbf�g ❑ <br /> TypE BDemolltion ❑Sign n'PE �New as <br /> Ra aidMalnt ther <br /> CONTRACT PRICE OF WORK 499.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Remove/replace gas water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET ______ AIC-AIHANDLING UNITS <br /> BATHTUB _______ FORCED AIR SYSTEMS <br /> LAVATORY (WASRi l3AS�4) ______ HEAT PUMP <br /> SHOWER _______ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL _______ CLOTHES DRYER <br /> DISHWASHER ______ RANGE HOOD <br /> LAUNDRY TRAY _1_____ WATER HEATEF <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> ------- <br /> URINAL _______ FIREPLACE INSERT <br /> DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> ---- <br /> FLOOR DRAIN ______ GAS RANGE <br /> BACKFLOW PREVENTER ______ GAS PIPING <br /> SINK (SERVICEIBARIMOPIETC; _____ EXHAUST FAN <br /> OTHER ------ OTHER--------------------- <br /> ------- ------- ---------------------------- <br /> ------ ------------------------------- <br /> ----- --------------------------------- ------ ---------------------- <br /> ------ ------------------------------- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO�E TRUE AND CORRECT.ALL <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 GIVE�UTHORITY TO VIOLATE OR CANCEL THE PROVIS'�N 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 PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND�296.200 WAC. <br /> '✓�rv1:' � :t _ � !' <br /> Signature of OwnerlContractor/Authorized Agent �e <br /> K�1 4:1 <br />