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, � � <br /> P�:,,:RMIT APPLICATILN <br /> �'��� CITY OF EVER�TT PERMIT SERVICES <br /> �� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK1117 <br /> SITE AODRESS PARCEL TAX I.D,� PERMITX � <br /> 1I IS WETMORE AVE,EVERETT,WA 98201 00468621900900 � <br /> N�Co'{CJ$ �o/ '� - <br /> LEGAL LOT NO. BLOCK TRACT � <br /> OWNER ADDRESS PHONE t <br /> RADER,RICH ��15 WETMORE AVE ' <br /> • EVEREiT,WA 98201 (425)304-0887 <br /> TENANTNAME CONTACTNAME PHONE ' s <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEA� <br /> FAST 1VATER HEATER COMPANY I2601 I32ND AVE NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/16i2005 <br /> PROPCSED USE OF BUILDING suua��o M�ehanlc� naaiuon H T SOURCE <br /> PERMIT ComblmHon Plumbinp W�� Nbntlon NetAo I <br /> TYPE D�moli0on g�p� TYPE � �� <br /> R� IqMNnI ar <br /> CONTRACT PRICE OF WORK S349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK OESCRIPTION Rcmovc/Rcplacc Elcctric WaMr Hcatcr <br /> t <br /> PLUMBING MECHANICAL , <br /> OF TU I EM OF R TE <br /> _____ WATER CLOSET _W__ AIC•A/HANOLINO UNITS <br /> ____ BATHTUB __�_ FORCED AIR SYSTEMS <br /> ___� LAVATORY(WASH BASIN) ___ HEAT PUMP <br /> _Y_ SNOWER ___ UNIT HEATERS � <br /> _____ KITCHEN SINK 6 DISPOSAL ___ CLOTlIES DRYER <br /> __�_ DISHWASHER _ RANGE HOOD <br /> __�_ LAUNDRY TRAY � _ WATER HEATER <br /> ____ CLOTHES WASHER _r METAL FIREPLACFJSTOVE <br /> _�_ URINAL ___ FIREPLACE INSERT <br /> _�._ DRINKING FOUNTAIN _ OAS FIREPI.ACE <br /> _ FLOOR DRAIN GAS RANGE <br /> _____ BACKFLOW PREYENTER __ GAS PIPIN6 <br /> ____ SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br /> _�_ OTHER ___ OTHER__ ____�_ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WIHT WHETHER SPEGFIED MEREI , <br /> OR NOT.THE GRANTING OF A PERMI7 DOES NOT PRESUME TO ONE AUTHORITY TO VIOLATE OR CANCEL THE PROVISpN OF ANY ' <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR TME PERFORAWrCE OF CONSTRUCTION.TNATIAMAUTMORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WFiICH APPLICA710N IS MADE AND 1 COMPLY WITM TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Slynalure of Owner/ContractodAuthoriz�d Apsni �--J� �!{�� D�b OS/12/206' <br /> u�.ai <br /> — . � <br />