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J <br />� �RMIT APPLICATr�N <br />����CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK1333 <br />SITE ADDRESS PARCEL TAX I.D.* PERMITI� <br />86I8XAVIERWAY,EVERETT,WA 98208 00801300000700 m04,0%-U�-� <br />IEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />N'ORKS, PHIL 8�+�8 XAVIER \VAY <br />• EVERETT, WA 98208 (425)513-0244 <br />TENANT NAME CONTACT NAME PHONE <br />PAMELA HiLL q25 814-3124 x133 � <br />CONTRACTOR ADDRESS CONTR.LICENSEA� <br />FAST WATER HEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br />(425)814-3124 KIRKLAND, WA 98034 OL16/2005 <br />PROPOSED USE OF BUILDING suuaioo M.on.ntea WORK Ad°�aO" H T souRCE <br />PERMIT ComblmNan Plumbin0 NlKatlon Netrte <br />rrre wmaiuo� s�o„ TrrE n.w .. <br />R� rIMNN r <br />CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS �105. <br />WORK DESCRIPTION Rcmovc/Rcplacc Gas Watcr Hca�cr <br />PLUMBING h1ECHANICAL <br />OF TU I M O R ITE <br />_____ WATER CLOSET ______ AIC•AlHANDLINO UNITS <br />______ BATHTUB ��__ FORCED AIR SYSTEMS <br />_______ LAVATORY (WASH BASIN) ___ MEAT PUMP <br />�_ SHOWER ___ UNIT HEATERS <br />_____ KITCFIEN SINK Q DISPOSAL _�__ r.LOTHEs DRYER <br />_ ___ DISHWASHER � _ RANGE HOOD <br />____ LAUNDRY TRAY �_ WATER FIEATER <br />___ CIOTHES WASHER __ METAL FIREPLACFJSTOVE <br />_�_ URINAL _�_ FIREPLACE INSERT <br />___ DRINKING FOUNTAIN _ (3AS FIRcPIACE <br />PLOOR DRAIN GAS RANOE <br />__ BACKFLOW PREVENTER __ GAS PIPINO <br />__ SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br />____ OTHER ___ OTHER________�____ <br />--- — — - � •------ --------------- <br />1 HEREBY CERTIFY THAT I MAVE READ AND EXAMINED THIS APLICATION ANb KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORh; WILL BE COMPLIED WIHT WHETHER SPECIFIED MEREI <br />OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISqN Of ANY <br />OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFCIRAUNCE OF CONSTRUCTION. TMATI AMAUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICHAPPLICATION IS MADE AND I COMPLY WITH TME STATE <br />CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br />Sipnaluro of OwnedContraetorlAulhorized Apeni ��� �_�,� Dab 07/14/2004 <br />ui n� <br />