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� o-� 03 v . ERMIT APPLICAI.JN <br />CITY OF EVERETT PERMIT SER'VICES <br />CITY vERe?�200 CEDAR STREET, EVERETT, WA 96201, 425-257-8810 <br />.,� .,eenng'publit Serviceb 019139 <br />SiTEADDRES3 �, � <br />1925 9N ST SE, EVERGTT, WA 9R20R <br />OWNER <br />MILL[ R, LAURIC <br />CONTRACTOR <br />FAST WATGR HGATER COMPANY <br />(425)R14•7124 <br />PROPOSED USE OF BiJ <br />��gSZ���000��� <br />ADDRESS <br />iyzs va sT sr: <br />• HVGRPTT, WA 9R20N <br />TYPE <br />PAMGLA HI <br />I2601 132ND AVE NG <br />KIRKLAND, WA 98034 <br />CONTRACT PRICE OF WORK 5449.00 <br />WORK DESCRirTION Remuvc/Rcplacc Gus Wntcr Flcmcr <br />WATER CLOSET <br />BATMTU9 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTFiES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER___ __ <br />Plumbinp I WORK <br />Slpn '�YPE <br />� <br />m o3�0 -�33 <br />PHONE <br />(425)J18-7727 <br />PHONE <br />425 814-3124 x133 <br />fASTW11C052DF <br />02/16/2005 <br />FORCEi7 AIR SY6TEMS <br />HEAT PtJMF <br />UNIT HEATERS <br />CLOTHES DRYfR <br />RANGEHOOD <br />WATER HEATER <br />METPL FINEPLACE/STOVE <br />FIREPLACE INSERT <br />OA8 FIREPLACE <br />GAS RANOE <br />OAS PIPIN6 <br />EXHAUSTFAN <br />OTHER______�___. <br />�t <br />------- i --• ------------------- � ----- � <br />I MEREBY CERTIFV i1iAT I MAVE READ AND EXAMINED THIS APIICATION ANO KNOW THE SAMF TO BE TRUE AND CORRECT. ALL <br />PROVISIGNS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WIMT WHETMER SPECIFIED HERE <br />DR NUT, fHE 6RANTING OF A PERMIT DJES NOT PRESUME TO ONE AUTHORITY TO VIOUTE OR CANCEI TNE PROVISION OF ANY <br />OiHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PER�ORAVWCE Of CONST'riUCT10N. THAT t AMAUTHORIZED <br />BY TME OWNER OF TNIS PROPERIY TO PERFORM THE WORK FOR WNICH APPLICATION 13 MAOE AND I COMPLY WITM TME STATE <br />CONTRACTOR" LAW 1B.Y7 RCW AND 298.200 WAC. <br />of 6NnerlConlraetorlAuthorized Ageni �F—i� ��-_�.— D�t� �ORO/2003 <br />