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Pr `RMIT APPLICATI, N <br /> CITY OF EVERETT PERMIT SERVICES <br /> ,-$- Trr 3200 CEDAR STREET, EVERETf, WA 98201, 425-257-8810 <br /> t K21�1; <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 'i'I 57SI SI . I.VI-.RE-17. WA 98201 11115176000006111 i/ - <br /> LEGAL LOT NO. BLOCK (TRACT <br /> DESC <br /> OWNER ADDRESS PHONE <br /> 921 57 ST SI,I I,A,AIM1lN5, IIA I1tR'[�A (425)348-4593 <br /> F 'i It 1 1. \\'A 98201 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMIiI.A fill.]. •125 81.1.31_2.1 \1.;; <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FASI WAII R HEATER COMPANY 1260] 132ND AVE NE FASTWIIC052111 <br /> PHONE 025)814-31'-1KIRKLAND. WA 98034 02/16120117 <br /> - <br /> PROPOSED USE OF BUILDING Mechanica WORK AdditionHEATSOURCE <br /> PERMITHeullding <br /> Combination Plumbing Alteration Electric <br /> TYPE Domolition Slgn TYPE New as <br /> r r Re Cher <br /> CONTRACT PRICE OF WORK 53.19.(10 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Ncnni�c Replace lileclric \I'atcr Ilcaler <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET ------- A/C-A/HANDLING UNITS <br /> BATHTUB ------- FORCED AIR SYSTEMS <br /> ------- LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER -- UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL ------- CLOTHES DRYER <br /> DISHWASHER __ - RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER -- METAL FIREPLACEISTOVE <br /> _--_ URINAL —__—_ FIREPLACE INSERT <br /> DRINKING FOUNTAIN -- GAS FIREPLACE <br /> FLOOR DRAIN —___ GAS RANGE <br /> BACKFLOW PREVENTER —___ GAS PIPING <br /> _—_ SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> ----- OTHER--------------- ------ OTHER------------- --------- <br /> 1 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 COMPLIED WIHT WHETHER SPECIFIED HERE( <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRLx TION.THATIAM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE.AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signaturo of Owner/Contractor/Authorized Ageni Date 03,29 2005 <br />