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��; PERMIT APPLIC�. r10N � <br /> �i��� CITY OF EVERETT PERMIT SERVICES MAY 2 3 2003 <br /> �� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810..._ <br /> CITY OF ���ETT <br /> SITE ADDRESS PARCEL TAX I.D.# ' ' <br /> 1407 RUCKER AVE,EVERETT,WA 98201 00438529400300 Mo3os_�3 Q <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER AODRESS PHONE <br /> OSBORNE,KEITH 1407 RUCKGR AVE (425j:57-3182 <br /> • GVERETT,WA 9R201 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE� <br /> FASTWATERHEATERCOMPANY 12601132NDAVENE FASTWHC052DF � <br /> (425)814-3124 KIRKLAND,WA 98034 02/162005 <br /> PROP05ED USE OF BUILDING a+uai�o M.on.nica WORK Ad°1qon H r souRce <br /> PERMIT ComblruHon Plumblop NtKatlon Nctdc <br /> TYPE amoliuon Sl�n TYPE ►Nw aa <br /> R� rMaIN r <br /> CONTRACT PRICE OF WORK $44g.00 CITY OF EVERETT LOCAL SALES TAX CODEIS J105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Gas Watcr Hcatcr <br /> PLUMBIt1G MECHANICAL <br /> OF TU I OF U R I E <br /> _____ WATER CLOSET ______ A!C-A/HANDLIN6 UNITS <br /> ____ BATHTUB _____ FORCE�AIR SYSTEMS <br /> ____ LAVATORY(VYASH BASIN) ____ MEAT PUMP <br /> _� SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 3 DISPOSAL _�_ CLOTMES DRYER <br /> ___ DISHWASHER _ RANGE HOOD <br /> ___ LAUNDRY TRAY _�_ WATER HEA�ER <br /> _ CLOTHES WASHER __ METAL FIREPLACFJSTOVE <br /> _ URINAL ___ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN _ OAS FIREPUlCE <br /> FLOOR ORAIN GAS RANOE <br /> ___ BACKFLOW PREVENTER __ GAS PIPINO <br /> _� SINK (SERVICEIBAR/MOPIETC.) ___ El(HAUST FAN <br /> � OTFIER_ ___ OTNER___`___________� <br /> 1 HEREBY CERTIFY TFi4T I MAVE READ AND EXAMINED TT11S APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WMETHER SPECIFIED MEREI <br /> OR NOT.THE GRANTiNG OF A PERMIT DOES k0T PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEI THE PROVISqN OF ANY <br /> OTMER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTIDN.TNAT 1 AM AUT`10RIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHIC:H APPLICATION IS�MDE ANO I COMPLY WITM TME STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> Sipnaturo of OwnedContnctorlAulhori:ed ApaN �J��G-/� ���� OSR2R003 <br /> u�.v <br />