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. I <br /> ,--�� R =RMIT APPLICATIJN � <br /> �i�r� CITY OF EVERETT PERMIT SERVICES <br /> `� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 � <br /> CK 1398 , <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# � <br /> 9920 24 DR SE,EVERETT,WA 98208 00791400001600 ��pa- D� <br /> I <br /> LEGAL LOT NO. BLOCK ITRACT <br /> E <br /> OWNER ADDRESS PHONE <br /> 9920 24 DR SE <br /> PHETSADAKONE,KELLY& PAT , EVERETT,WA 98208 (425)338-3137 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 8143124 r133 j <br /> CONTRAI'TOR ADDRESS CONTR.LICENSE# j <br /> FAST WA7'ER HEATER COMPANY 12601 132ND AVL NL FASTWHC052DF <br /> KIRKLAND,WA 98034 02/16/2005 <br /> (425)8143124 <br /> PROPOSED USE OF BUILDING Buildinp Machanlca WORK Addltion HEAT SOURCE <br /> PERMIT Combination Plumhlnp Altentlon El�ctric <br /> TypE D�molilion Slyn TYPE Nwv ac <br /> � R� elrlMalnl er <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION RemovdReplacc Gns Watcr Hcutcr <br /> �I <br /> UM I MECHANI�AL � <br /> N�p.�� TYPE OF FIXTURE OR ITEM N0. TYP OF FI%TURE R ITEM <br /> WATER CLOSET �_____ A1C•AIHANDLING UNITS <br /> BATHTUB �_____ FORCED AIR SYSTEMS <br /> LAVATORY (WASH BASIN) _____ HEAT PUMP <br /> SHOWER ___ UNIT HEATERS <br /> KITCHEN SINK 8 DISPOSAL __�__ CLOTHES DRYER <br /> DISHWASHER _______ RANGE NOOD � <br /> LAUNDRYTRAY ___�__ WATERHEATER <br /> CLOTHES WASHER ____ METAL FIREPLACEISTOVE <br /> URINAL _��_ FfREPLACE INSERT <br /> � DRINKiNG FOUNTAIN ___ OAS FIREPLACE <br /> ^ FLOOR DRA1N _�_ GAS RANGE <br /> BACKFLOW PREVENTER _� GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) ___ EXHAUST PAN <br /> ----- OTI�ER�--- OTHER-------------------- <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TMAT 1 AM AUTMORIZED <br /> 6Y THE OWNER OF THIS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITN THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signatura of OwnedContracror/Authorized AgeN ��G� �1�� Dats 01/28/2004 <br /> UI Mll <br />