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Sent By: HP LaserJet 3100; <br />4258249516; Oct-12-05 8:33AM; Page 3/3 <br />PERMIT APPLICATION <br />CITY OF EVERE•TT PERMIT SERVICES L _o') <br />3200 CEDAR STREET, EVERETT, `NA 98201, 425-257-8810 W1205 <br />--T-SITE ADDRESS PARCEL TAk: I.D.# PERMIT# <br />5008 33 AVF. H', LVERLTT, WA 98203 <br />00571700301102 (Y1�5((� UPS <br />OWNER <br />GIBBON. K.ARE`! <br />CONTRACTOR <br />FAST 'WATER HEA 1 F.R COMPANY <br />PHONE (425)814-3124 <br />PROPOSED USE OF RU <br />ADDRESS <br />PHONE <br />5008 33 AVF. N' <br />(20E)683-4171 <br />E�!L•RFTI', WA 98203 _ <br />NTACT NAME <br />PHONE <br />42$ 814-3I24 x 133 <br />PAMELA HILL <br />CONTR.LICENS <br />ADDRESS <br />12601 132ND AVE NF. <br />FAS'r%VHCO52DF <br />RIRKLAND, WA 9803, <br />02.1620U7 <br />PERMIT <br />OF WORK S349.00 <br />WORK DESCRIPTION Renimc.RePlace Electric Water Heater <br />BATHTUB <br />------ LAVATORY (WASH BASIN) <br />- ----- SHOWER <br />KITCHEN SINK & DISPOSAL <br />— DISHWASHER <br />_ — LAUNDRY TRAY <br />-- CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />-- FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEISARIMOPIETC.) <br />OTHER—_—r---------- <br />Mechanlca WORK Addition HEAT SOURCE <br />HlumhlnD AltoraScn �JElectrlc <br />l4gn TYPE New 1rl.'..�11OOaa <br />Rap IrlMa— Ihar <br />101TY OF EVERETT LOCAL SALES TAX CO ES 3105 <br />MECHANICAL <br />N0 _— TYP OF FIXTURE OR ITEM <br />_ __ A!C•A/HANDLING UNITS <br />_ — _ FORCED AIR FYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />-- RANGE HOOD <br />I_ WATER HEATER <br />_— METAL FIREPLACEISTOVE <br />FIREPLACE INSERT <br />—_ GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER _�---------------' <br />HEREBY CERTIFY THAT I HA1.'E READ AND EXAMINED THIS APLIGATION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br />)R NOT. THE GRANTING Of A PEIRM T DOES NOT PRESUME 0 NE AU1 HORITY 0 VIOLATE 0 CANCEL THE PRONSION OF A REI! <br />;Y TF1E OWNE OFOTH S RO ER OTPERfORM THE WORK fOR WHI:;H APPLICATION S�MOE ANO COMPLY WAITH THE 4RTATEc <br />-nNYRACTORS LAW 18.27 RCW AND 2g6.200 WAG. <br />Date IUlL2005 <br />Of own@ rlContracturlAUlh0rlZ00 AgeN <br />uvti <br />