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PTRMIT APPLICATIQ N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> c'K2561 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 105 5x PI, sN'. Lvj Rh:'FT, WA 98203 (1081060000-4200 -0-33 O-3 2 <br /> LEGAL LOT NO. BLOCK (TRACT J <br /> OWNER [ADDRESS PHONE <br /> ns 581'1.SN' 1425)514-5464 <br /> RI'HI N, ARL' VfRI[fl. WA 98103 <br /> TENANT NAME CONTACT NAME PHONE <br /> VANILLA 1111.1. 415 814-3114 s 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER IIEATER COMPANY 12601 132ND AVE NL FASTWHC052DF <br /> KIRKLAND,WA 98034 02/16/2007 <br /> PHONE (425)814.3124 <br /> PROPOSED USE OF BUILDING Building Mechani�a WORK Addition li AT SOURCE <br /> PERMIT Combination Plumhln Allaradon Elaclrfc <br /> TYPE Demolition Sipn TYPE New as <br /> so Repair/Ma Cher <br /> CONTRACT PRICE OF WORK 8449.011 dalkclfy OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> WORK DESCRIPTION RemoveMplacc Gas Watcr Hcater <br /> PLUMBING MECHANICAL <br /> TYPE OF FIXTURE OR ITEM NO TYPE OF FIXTURE OR ITEM <br /> __ WATER CLOSET ------- AIC-AIHANDLING UNITS <br /> ----- <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 /> ---___ <br /> LAUNDRY TRAY �I _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> r _ 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 /> --- <br /> OTHER _ OTHER------------------------ <br /> _ -- -- <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 HEREIN <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 CONSTRUCTION.THAT I AM 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 /> SI nature of Owner/Contractor/Authorized Agent Date 07/192005 <br /> ui em <br />