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r F .:RMIT APPLICATLA <br />CITY OF EVERETT PERMIT SERVICES <br />T' '.)200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK 1184 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />124 69 PL SE #E. EVERETT. WA 982O3 <br />00915012400200 <br />_ <br />y <br />LEGAL <br />LOT NO. <br />BLOCK TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />OLSEN, JULIAN <br />124 69 I'L SE #H <br />(425)71(1 9751 <br />EVERETT, WA 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />I'Alx1LLA IHLL <br />425 814-3124 x133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />FASTWII17052DF <br />PHONE (425)814-3124 <br />KIRKLAND. WA 98034 <br />02/16/2005 <br />PROPOSED USE OF BUILDING eulIdinp Mechanics Addlllon HAT SOURCE <br />�PERMIT Combinatlon Plumbinq WORK Alleratlor ElacIn'PE <br />Demolition Sign TYPE Now as <br />r Re alrlMalnt ther <br />CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Rcmevc/Rcplacc Electric N'nlcr Hcmcr - <br />PLUMBINO <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />_----- <br />A/C•A/HANDLING UNITS <br />------- <br />BATHTUB <br />FORCED AIR SYSTEMS <br />------- <br />L <br />LAVATORY (WASH BASIN) <br />_ _ <br />HEAT PUMP <br />SHOWER <br />_—_ <br />UNIT HEATERS <br />------- <br />KITCHEN SINK & DISPOSAL <br />_ <br />CLOTHES DRYER <br />DISHWASHER <br />_ <br />RANGE HOOD <br />------- <br />LAUNDRY TRAY <br />� <br />WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />_ <br />_Y <br />GAS FIREPLACE <br />FLOOR DRAIN <br />_ _ <br />GAS RANGE <br />______ <br />BACKFLOW PREVENTER <br />_—_ <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC,) <br />EXHAUST FAN <br />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 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 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Ageni -�� Date <br />05/26/1004 <br />u, M <br />