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�: `ERMIT APPLICA� .O�� <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201, 425-257-8810 <br /> 018726 <br /> SITE ADORESS PARCEL Ti1X I.D.� PERMITi <br /> 6017 SEAHURST AVE,EVERETT,WA 98203 00436600005502 �,�� <br /> LEGAL LOT NO. BIOCK TRACT <br /> OWNER ADDRESS PHONE <br /> RICKELS,LANCE 6503 232 ST SW <br /> • MT LK TERRACE,WA 98043 (425)776-5921 <br /> TENANT NAME CONTACT NAME PHONE <br /> EMPTY PAMELA HILL 425 814•3124 x133 <br /> CONTRACTUR ADDRESS CONTR.LICENSEN <br /> FAST WATER HGATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)8I4-3124 K(RKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING swiatoo M.cn.ntc. naaiaon H T SouRCE <br /> PERMIT Comblmdon Plumbinp WO� NlK�tlon Nctrk <br /> TYPE D«nW11bn �p� TYPE �, �a <br /> R� NMNnt <br /> CONTRACT PRICE OF WORK g349.00 CITY OF EVERETT LOCAL SALEg TAX CODEIS]70S <br /> WORK DESCRIPTION Rcmovditcplacc Elcctric Watcr Hcatcr <br /> PLS�@I�S�t MECHANICAL <br /> OF TU I O R E <br /> __�__ WATER CLOSET NC•AlHANDLINO UNITS <br /> ____ BATHTUB FORCED AIR SYSTEMS <br /> _____ LAVATORY(INASH BASIN) HEAT PUMP <br /> _N_ SHOWER __ UNIT HEATERS <br /> _____ KITCHEN SINK 6 DISPOSAL CLOTMES DRVER <br /> _�_ DISHWASHER RANGE HOOD <br /> _____ LAUNORY TRAY M1 WATER HEAT�R <br /> ____ CL07HE3 WASHER METAL FIREPLACFJSTOVE <br /> ___ URINAL _ FIREPLACE INSERT <br /> ___ DRINKING FtlUNTAIN ~ f3A3 FIREPLACE <br /> _ FLOOR DRAitv GAS RANC3E <br /> _�__ BACKFLOW pREVENTER � GAS PIPINO <br /> _, SINK (SERVICFJBAR/MOP/ETC.) EXHAUST FAH <br /> __ OTFIER_ ___ OTHER__ _w_ <br /> 1 MEREBY CERTIFY THqT I HAVE READ AND E%AMINED THIS APLICATION AND KNOW 7HE SAME TO 8E TRUE AND CORRECT,ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF WORK WI�L BE COMPIIED WINT WMETMER SPEGFIED NERE <br /> OR NOT.TME GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHURITY TO VIOUTE OR CANCEL TME PROVISqN OF ANY <br /> OTMER STATE OR LOCAL lAW REGUUTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTqN.h1AT I MI AUTMORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM TFiE WORK FOR WMICH APPLICATION IS MADE AN01 COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Sipmtun of OwnerlContnctorlAuthori:ed Apam �J� �!��..—�, D�t� 08/06QW3 <br /> u�vii <br />