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�--� F� �RMIT APPLICATiJN <br /> CITY OF EVERETT PERMIT SERVICES <br /> �ti��� 3200 CEDAR STREET, EVERETT, WA 98201� 425-257-8810 <br /> o i aso� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 9020 5 PL\V#2A,EVERETT,WA 98204 006936000002U0 � d �-7-OD <br /> LEGAL LOT NO. BLOCK ITRACT <br /> OWNER ADDRESS PHONE <br /> OLSEN,JOHN 9020 5 PL W#2A (q25)717-5605 <br /> • EVERETT,WA 98204 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE�f <br /> FAST WATER}IEATER COMPANY 12601 132ND AVE NE FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/l6/2005 <br /> PROPOS�D USE OF BUILDING suudinp M�ehanica ndd�uon H T SOURCE <br /> PERMIT Combinetion Plumbiny WORK /��entlon I�ctrie <br /> TYPE Damolition Slyn TYPE N�w as <br /> r R� eIrlMaint her <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTfON Remove/ReplaceElcetric WaterHcater <br /> UMBI MECHANICAL <br /> NO. TYPE OF I�IXTURE R ITEM NO. TYPE OF FIXTUR OR ITEM <br /> _____ WATER CLUSET ______ AIC-A/HANDLING UNITS <br /> ___ BATHTUB _�__ PORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _�_ HEAT PUMP <br /> � SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 8 DISPOSAL ___ CLOTHES URYER <br /> DISHWASHER __ _ RANGE HOOD <br /> ` LAUNDRY TW4Y _�__ WATER HEATER <br /> �_ CLOTHES Wl�SHER _� METAL FIREPLACE/STOVE <br /> URINAL ____ FIREPLACE INSERT <br /> DRINKING F�JUNTAIN ___ GAS FIREPLACE <br /> FLOOR DRAIN ___ GAS RANGE <br /> BACKFLOW PREVENTER __ GAS PIPING <br /> _� SINK (SERYICEIBAR/MOP/ETC.� ___ EXHAUST FAN <br /> __ OTHER--- �_..._ _�_ 07HER------�----�-�- <br /> 1 HEREBY CERTIFY THAT I HA\IE READ AND EXAMINEO THIS APLICAi10N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAYdS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THF PROVISION OF ANY <br /> OTHER STATE OR LOChL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRU:TION.THAT 1 AMAUTHORIZFD <br /> 6Y THE OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1A.27 RCW AND 296.200 WAC. <br /> SlgnaWre of OwnedControetorlAuthorized Agent ��/G� ��,� Date 07/OU2003 <br /> u�ani <br />