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F .�RMIT APPLICATI �N <br /> CITY OF EVERETT pERMlT SERVICES <br /> ._ 3200 CEDAk STREET, EVERETT, WA 98201, 425-257-8810 <br /> 018619 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5620 14 DR W#Q303,EVERETT,WA 98203 00847701730300 �InOr�G-,_�C r/ <br /> I�l Q <br /> IEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> TANASSE,SHANNON 5G20 14 DR W#Q303 <br /> � EVERETT,WA 98203 (425)349-4427 <br /> TENANTNAME CONTACT NAME PHONE <br /> PAMLLA HILL q25 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST WATGR HGATER COMPAi IY 12601 132ND AVE NB FASTWHC052DF <br /> (425)814-3124 KIRKLAND,WA 98034 02/IG/2005 <br /> PROPOSEO USE OF BUILDING Buildinp Meehanica WORK Addilion HEAT SOURCE <br /> PERMIT Combinalion Plumbinp Alleretlon Elactric <br /> TYPE Demolition Slgn TYPE New ae <br /> rl r Re alrlMalnt ther <br /> CONTRACT PRICE OF W�iRK S449.00 CITY OF EVERETT IOCAL SALES TAX CODEIS 3'105 <br /> WORK DESCRIPTION Removc/Rcplacc Gns Watcr Hcatcr <br /> UMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM � <br /> __ WATER CLOSET ______ AIGA/HANDLING UNITS I <br /> _�__ BATHTUB �,___ FORCED AIR SYSTCMS <br /> _ ___ LAVATORY QNASH BASIN) `�_ HEAT PUMP I <br /> __ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK $ DISPOSAL __�__ CLOTHES DRYER <br /> _� DISHWASHER _ _ RANGE HOOD <br /> ___ LAUNDRY TRAY _ 1__ WATER HEATER <br /> __ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> _ URINAL _Y_ FI!<EPLACE INSEP.T <br /> _ DRINKING FOUNTAIN _ GA� FIREPLACE <br /> F!OOR OPAIN GAS ^nANGE <br /> ___ BACKPLOW PREVENTER __ GAS PIPING <br /> __ SINK (SERVICEIBAR/MOPIETC.) ___ EXHAUST FAN <br /> ____ OTHER_ _�_ OTHER______��_______A <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CCMPLIED WIHT WHETHER SPECIFic'D HEREI <br /> OR NOT.THE GRANTING OF A PER611T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLT.TE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIQ"' OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPLICATIQN IS Mi+�E AND I COMPLY WIThi THF.STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signalure of OwnarfContractorlAuthorized Ageni �G� ��� Date 07/15/2003 <br /> u�vai <br />