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11 =RMIT APPLICAThJN <br />CITY OF EVERETT PERMIT SERVICES <br />4—orr <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />018941 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />5019 27 AVE W, EVERETT, WA 98203 <br />00567900200302 <br />0-9-DZS <br />JV2 <br />LEGAL <br />LOT NO. <br />BLOCK <br />E <br />(TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />JONES, JUDIT14 <br />5019 27 AVE W <br />(425)348-0241 <br />EVERETT, WA 99203 <br />TENANT NAME <br />CONTACT NAME <br />PHONF <br />PAMELA HILL <br />425 814-3124 xl33 <br />+, CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />I <br />12601 132ND AVE NE <br />FASTWHCO52DF <br />(425)814-3124 <br />KIRKLAND, WA 98034 <br />02/16/2005 <br />PROPOSED USE OF BUILDING <br />Building Mechanics <br />WORK <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Combination Plumbing <br />Alteration <br />Electric <br />TYPE <br />Demolition Sign <br />H6prinki <br />TYPE <br />New <br />as <br />_ <br />I <br />0 Rs airlMaint <br />her <br />CONTRACT PRICE OF WORK S449.00 A`CITY <br />OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace Gas Water Heater <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />------- <br />A/C-AIHANDLING UNITS <br />BATHTUB <br />— ----- <br />FORCED AIR SYSTEMS <br />------- <br />LAVATORY (WASH BASIN) <br />—__—_ <br />HEAT PUMP <br />SHOWER <br />--_ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />--__ <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />--1 <br />WATER HEATER <br />--__ <br />CLOTHES WASHER <br />-- <br />METAL FIREPLACEISTOVE <br />---_ <br />URINAL <br />---_ <br />FIREPLACE INSERT <br />—__ <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />—_—_ <br />FLOOR DRAIN <br />_ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />-- <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />--_ <br />EXHAUST FAN <br />=--- <br />OTHER--- -- <br />---- <br />OTHER------------------ -- <br />-- <br />k <br />—---------- <br />------ <br />—-------- --------------- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME 1`0 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE( <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. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PEP'ORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 NAC. <br />Signature of OwnedContractorlAuthorized Agem �fG� �lG Date 09/11/2003 <br />m.mi <br />