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F ;RMIT APPLICATI.�N <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE�T, WA 98201, 425-257-8810 <br /> 016460 <br /> SITE ADDRESS PARCEI.TAX I.D.N PERMIT� <br /> 608 WAVERLY AVE,EVERETT,WA 98201 00497100003600 YID�G,(� �1 1 � <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> BLACKBURN,LAURA 608 WAVERLY AVE <br /> • EVERETT,NA 9F201 (4�5)259-7276 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.IICENSE�k <br /> Fl.ST WATER HEATER COMPANY 12601 132ND AVE NE FAS'f WHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING swiatnp M.cnama Adataon M T SouRCE <br /> PERMIT Combin�Non Plumb�np WORK N��y� NeMe <br /> TYPE D�md111on Slyn TYPE � aa <br /> R� uqMalnt Mr <br /> CONTRACT PRIC: OF WORK 5349.00 CITY OF EVERETT IOCAL SALES TAX CODEIS S70S <br /> WORK DESCRIPTION Rcmovc/Rcplace Elcctric 1Vatcr Hcatc: <br /> PLUMBING MECHANICAL <br /> TYPE OF TURE ITEM OF XTU R ITE <br /> ____ WATER CLOSET ______ A/C•AIHANDLINO UNITS <br /> ____ BATHTUB FORCED AIR SYSTEMS <br /> ______ LAVATORY(WASH BASIN) _� HEA7 PUMP <br /> �_ SHOWER __ UNIT HEATERS <br /> _____ KI7CHEN SINK 3 DISPOSAL _ CLOTHES ORVER <br /> ___ DISHWASHER __ _ RANGE HOOD <br /> _____ LAUNDRY TRAY � WATER HEATER <br /> ____ CLOTHES WASHER _ METAL FIREPLACE/STOVE <br /> ___ URINAL _ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN OAS FIREPLACE <br /> FLOOR DRAIN GAS RAN6E <br /> _�__ BACKFLOW PREVENTER _ GAS PIPINO <br /> _�_ SINK (SERVICEIBARIMOPlETC.) � EXHAUST FAN <br /> _�_ OTHER_ _�_ OTHER��_�____ <br /> 1 HEREBY CERTIFY THqT 1 HAVE READ AND EXAMINED THIS APLICAT104 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 WHETHER SPECIFIED NEREI <br /> OR NOT.TME GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISqN OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION.THATIAMAUTMORIZED <br /> BY THE OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WMICH APFLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAVJ 18.27 RCW AND 29fi.200 WAC. <br /> Siynatura of OwnedContractor/Authorized Apeni �� ��_� ���� 06/24/2003 <br /> u�ai <br />