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P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK 1245 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 202 60 1'L SE.EVERETT, WA 99203 00794100004100 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHOWE <br /> BERGMANS. RICK 202 601'L SE <br /> EVERETT, IVA 99203 (x25)2)0-5561 <br /> TENANT NAME CONTACT NAME PHONE <br /> I'ANIFLA IIILL 425 s14-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FASTWATER III:ATER COMI'ANl' 12001 132ND AVE NE PASTWHC05213F <br /> °HONE (425)814-3124 FFRKLAND. WA99034 02/10/2005 <br /> PKOPOSED USE OF BUILDINGBulldinp Mechenica Addition H T SOURCE <br /> PERMIT Combination Plumbing WORK Alteration Electric <br /> TYPE Demolition Slgn TYPE Now as <br /> Re alr/Malnt then <br /> CONTRACT PRICE 61'WORK S449.00 ICITY OF EVERETT LOCAL SALES TAX CODEIS 7105 <br /> WORK DESCRIPTION <br /> Remove/Replace Gas Water I Ic;ucr - <br /> PLUMBING MECHANICAL <br /> NO. I TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _______ WATER CLOSET _______ A1C-A/HANDLING UNITS <br /> _______ BATHTUB FORCED AIR SYSTEMS <br /> _______ LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> _______ KITCHEN SINK & DISPOSAL CLOTHES DRYER <br /> DISHWASHER __ _ RANGE HOOD <br /> _______ LAUNDRY TRAY � WATER HEATER <br /> _______ CLOTHES WASHER METAL FIREPLACE/STOVE <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 /> 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 COMPLIED WIHT WHETHER SPECIFIED HEREI <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 /> Signaturo of Ownor/Contractor/Authorized AgentJ Dats <br /> 00:15%2004 <br /> umi <br />