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F .�F�IV1lT APPLlG�TI.rN <br /> �� CITY OF F=VERETT P�RMiY SER'VICES <br /> 3200 CEDAR STREET, EVERETT, 'NA 98201, 425-257-8810 <br /> 018437 <br /> SITE ADDRESS PARGEL TAX I.D.# PERMIT# <br /> I510 36 ST,EVERETT,WA 98201 00451401100103 MU� n� �� � <br /> L' <br /> LEGAL LOT NO. BLOCK +TRACT <br /> pF I <br /> OWNER ADDRESS PHQNE <br /> SODORI'F, SUSAN �9z�5 184TH PLNE (425)844-0944 <br /> • WOOLINVILLL,WA 98077 <br /> TENANT NAME CON'fACT NAME PHONE <br /> JfPF I>ANIELS PAME-LA NILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.IICENSE.a <br /> fAST NATBR HEATER COMPANY 12601 132ND AVE NE FASTWHC052DP <br /> KIRKLAND,WA 98034 02/16/2005 <br /> (425)814-3I24 <br /> PROPOSED USE OF BUILDING Bulldinp Mecnan�ca WORK Addilion HEAT SOURCE <br /> PERMIT Combinetton Plumbing AllereUon ❑Electric <br /> 7ypE Demolilion Sign TYPE New as <br /> r r Re aldMalnt ther <br /> CONTRACT PRICE OF WORK S349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmovc/Rcplacc Llectric\'Vatcr Hcatcr <br /> UMBI MECHANICAL <br /> MO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET _�___ AIC-AIHAVOLING UNITS <br /> BATHTUB ��__ FORCED .41R SYSTEMS <br /> _. __ LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER ___ UNIT HEATERS <br /> � KIT�HEN SINK 8 DISPOSAL _!_ CLOTHES DRYER <br /> DISHWASHER _ RANGE HO�D <br /> LAUNDRY TRAY ��__ WATER HEA7ER <br /> CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> URINAL _�_ FIREPLACE INSERT <br /> DR'NKING FOUNTAIN _ GAS FIREPLACE <br /> � FLOOR DRAIN GF.S RANGE <br /> BACKFLOW PREVENTER __ GAS PIPING <br /> SINK (SER;'ICEIBARIMOP/ETC.) ___ EXHAUST FAN <br /> ---- OTHER---------------- <br /> __ OTHER__. —_____ <br /> 1 HEREBY CERT�FY THAT I HAVE READ AND EXAM�NED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATiNG CONSTRUCTIOh OR THE PERFORMANCE OF CONSTRUCTION.THAT I AMAUTHORIZEO <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPIICATiON IS MADE AND 1 COMPLY WITH TME STA7E <br /> CONTRACTORS LAW 18.27 RCW ANO 296.20D WAC. <br /> Signature of OwnedContractor/Authorized Agani ,�G��� Date 06/l7/2003 <br /> u�ani <br />