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r <br /> PERMI� APpLICATION <br /> ���� CITY QF EVERETT PE�MIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 I <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# I' <br /> 3028 12th St qA 00438723000401 ����� —�b� <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DESC. <br /> OWNER ADDRESS PHONE <br /> 3028 121h St#A <br /> Nguyen Ong Everelt WA 98201 2068243134 <br /> TENANT NAME CONTACT NAME PHONE <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> Fast Water Heaters Company(SEA) <br /> 12601 132nd Ave. N.E. <br /> PHONEa25ai43124133 Kirkland WA 98034 FASTWHC052DF <br /> PROPOSED USE OF BUiLDING Buildfng Mechanical Addition HF.AT SOURCE <br /> PERMIT Combination Plumbing WORK qlteration �Electric <br /> TYPE �Demolition �Sign TYPE �NeW as <br /> S rinkler Re alr/Malnt ther <br /> CONTRACT PRICE OF WORK 349.00 CITY OF EVERETT LOGAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Remove/replace electric water heater <br /> PLUfvIBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM tJO. TYPE OF FIXTURE OR I7'EM <br /> _______ WATER CLOSET _______ AIC-A1HAhDLING UNITS <br /> ______ BATHTUB ______ FORCED AIR SYSTEMS <br /> _______ LAVATORY (WASH BASIN) _______ HEAT PUMP <br /> ______ SHOWER ______ UNIT HEATERS <br /> _______ KITCHEN SINK a nISPOSAL _______ CLOTHES DRYER <br /> _______ DISHWASHER ____ RANGE HOOD <br /> _______ LAUNDRY TRAY 1 _____ WATER HEATER <br /> ___.____ CLOTHES WASHER ______ METAL FIREPLACEISTOVE <br /> _______ URINAL _______ FIREPLACE INSERT <br /> _______ DRINKING FOUNTAIN ______ Gq5 FIREPLACE <br /> _______ FLOOR DRAIN _______ GAS RANGE <br /> _______ BACKFLOW PREVENTER ____,___ GAS ?IPING <br /> _______ SINK (SERVICEIBAR/MOPIETC.) EXNAUST FAN 1 <br /> ------ <br /> ------- OTHER--------------------------- ------- OTHER------------- -- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CCRFECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERN!NG THIS TYPE OF WORK WILL BE COMPL.{ED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TU GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANl' <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE P'cRFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY TtIE OWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOR WHICH APPLICATION IS MADEAND I COMPLY WI7H THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> �" "�L� 09/26I2001 <br /> ...�y�k�..,.. ,., .,••,iedContractor/Authorized Agent Date <br /> It51 9�1 <br />� <br />