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' PERMIT APPLIC� . ION <br />CIT`1f OF EVERETT PERMIT SERVICES <br />..... 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />2916 21 ST, EVERETT, WA 98201 <br />OWNER <br />EAKIN, CLAY <br />NAME <br />ADDRESS <br />291G 21 ST <br />TAX I.D.# <br />00553101400700 <br />WA 9820I <br />PAMELA HILL <br />CONTRACTOR ADDRESS <br />1'AST WATER HEATER COMPANY ]2601 132ND AVE NE <br />(425)814-3124 KIRKI,ANU, WA )8034 <br />PROPOSED USE OF BUILDING euimino M�chamc <br />PERMIT Comhlnation Plumbinp <br />TYPE D�molilion Sipn <br />PRICE <br />WORK DESCRIPTION <br />$349.00 <br />Removc/Rcplacc Elcc�ri� Watcr Hcatcr <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER_ <br />OF <br />� <br />016785 <br />PERMIT# <br />M�b2 l I -4��j <br />Zl/ ziZ� <br />PHONE <br />(425)252-2587 <br />PHONE <br />425 814-3124 x133 <br />CONTR.LICENSE� <br />FASTWHC052DF <br />02/16/2003 <br />Addltion H�T SOURCE <br />aarano� � �ENaMe <br />New r r�. <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />fdETAL FIREPLACE/STO'v@ <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTH E R_�`-____----�-� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TFiIS APLICATION AND KNOW THE SAME TO GE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETH�R SPECIFIED HERE <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT IAM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br />CONTRACTJRS LAW 78.27 RCW AND 296.200 WqC. <br />of OwnedContrectorlAuthorized Agem ��.�Cr ,,�G%' <br />Dats 11/I3R002 <br />tll Mll <br />