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P �RMIT APPLICATIivN <br />CITY OF EVERETT PERMIT SERVICES <br />�_ 3200 CEDAR STREET, EVERETT, WA 90201, 425-257-8810 <br />744355 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />5019 9 AVE W, EVERGTT, WA 9g203 00781100001300 �� 1�'102p�—D7z5' <br />OWNER <br />DIRE, PENNY <br />ADDRESS <br />5019 9 AVG W <br />WA 98203 <br />PAMELA HILL <br />CONTRACTOR ADDRESS <br />PAST WATER FIEATER COMPANY 12601 132ND AVE NE <br />PHONE (425)814-3124 <br />PROPOSED USE OFE <br />KIRKLAND, WA 98034 <br />Combinafion <br />nGT PRICE OF WORK 5449.00 <br />DESC121pTI0N <br />Remove/Replace Gas Water Heater <br />WATER CL.�SET <br />BATHTUB <br />LAVATORY (4YASH BASIN) <br />SHOWER <br />KITCHEN SINF� & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAiW <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTH ER_ _ <br />Plumbinp Wuxi <br />S�an TYPE <br />OF <br />� <br />� <br />� <br />� <br />PHONE <br />(425)252-0886 <br />PHONE <br />425 814-3124 x133 <br />CONTR.LICENSEl� <br />FASTWHC052DF <br />02/16/2003 <br />A+G-AIMANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE I+000 <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS FtANGE <br />GAS F'IPING <br />EXHAUST FAN <br />OTH E R____________�_, <br />HEREBY CERTIFY THAT I HAVE RE1D AND EXAMINED THIS APLICATwN AND KNOW THE SAME 70 BE TRUE AND CORRECL ALL <br />'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CPMPLIED WIHT WHETHER SPECIFIED HERE <br />)R NOT. THE GRPNP.NG OF q pERMIT DOES NOT PRESUME TO GIVE AUTHORIIY 70 VIOLATE OR CANCEL THE PROVISION OF ANY <br />>THER STATE OR LOCAL lAW REGULATI�:� r.ONSTRUCTION Oft THE aERFORMANCE OF CONSTRUCTiON. THAT I AM AUTHORI7ED <br />Y THE OWNER OF THIS PRQPERTY TO PERFORM THE WORK FOR WHICHAPPLICATION IS MAOE AND 1 COMPLY WITH THE STATE <br />;ONTRACTORS LAW 18.27 RCW ANU 296.200 WAC. <br />of OwnedContractodAuthorized Agani - � "' Date <br />�//� �r�!/' 08/13/2002 <br />ui ani <br />