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R�.;RMIT APPLICATI�vN <br /> �i�r� CITY OF EVERETT PERMIT SERVICES j <br /> �� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 ; <br /> CK 1352 <br /> SITE ADDRESS PARCEL TAX I.D.� PERMIT� <br /> 19I 1 RUCKER AVE,EVERETT,WA 98201 00437037700600 /�n� O�_ 0�� <br /> �' \ <br /> IEGAL LOT NO. BLOCK TRACT <br /> �, <br /> OWNER ADORESS PHONE <br /> SCHUTT,MIKG �9�� RUCKGR AVE (q�5)252-4485 <br /> • EVERETT,\VA 9R201 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 B14-3124 x133 -� <br /> CONTRACTOR ADDRESS CONTR.LICENSE� <br /> FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)8I4-3124 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING euudinp M�eh�niu W�RK Addidon N T SOURCE <br /> PERMIT Combinatlon Plumbinp NIK�tlon NelAo <br /> TYPE D�molfUon Slyn TrPE N�w aa <br /> R� drlMdN � <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 7105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Elcctric Walcr Hca�cr - <br /> PLUMBING MECHANICAL <br /> OF TU I M OF XTUR RITEM <br /> ______ WATER CLOSET ______ A/C-A/HANOLIN6 UNITS <br /> ____ BATMTUB �___ FORCEO AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _�_ HEAT PUMP <br /> ____ SHOWER UNIT HEATERS � <br /> ___ KITCHEN SINK 6 DISPOSAL ______ CLOTHES DRYER <br /> _� DISHWASHER _ _ RANGE HOOD <br /> ___ LAUNDRY TRAY _�__ WATER HEATER <br /> � CLOTHES WASHER __ METAL FIREPLACFJSTOVE <br /> _ URINAL ___ FIREPLACE INSERT <br /> _ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RANOE <br /> ___ BACKFLOW PREVENTER __ GAS PIPINd <br /> _, SINK (SERVICEJBAR/MOPfETC.) ___ EXHAUST FAN <br /> �_ OTHERV ___ OTHER_r___�_____� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRIiE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPEGFIED HEREI <br /> OR NOT.TFiE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTMER STATE OR LOCAI LAW REGULATING CONSTRUCTIOPI OR TME PERFORMlWCE OF CONSTRUCTpN,THAT IAMAUTMORIZED <br /> BY TFiE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WhI1CH APPLICATION IS MADE AND 1 COMPLY WITM TME STATE r <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> Siynature of OwnedContractoNAuthori:ed Apeni ��� �_�.�� O�ts 07/20/2004 <br /> u�.ni <br /> { <br /> _ . _ . . .--- . � <br />