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PERMIT APPLICA JON <br />CITY OF EVERETT PERMIT SERVICES <br />._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />733365 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />130 74 ST SE, EVERETT, WA 98203 <br />00392000001704 <br />�U -7 <br />LEGAL <br />LOT NO. <br />BLOCK <br />TRACT <br />D <br />OWNER <br />ADDRESS <br />PHONE <br />JORDAN• GLENN <br />130 74 ST Sli <br />(425)355-4528 <br />EVERETT, WA 98203 <br />PHONE <br />TENANT NAME <br />CONTACT NAME <br />PANIELA HILL <br />425 814-3124 x133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WA I FR I II'.A i'ER COMPANY <br />12601 132ND AVE NE <br />FASTWHC052DP <br />(425)81-1-3124 <br />KIRKLAND, WA 98034 <br />02/16/2003 <br />PROPOSED USE OF BUILDING Building Maehe 11;8 Addition HEAT SOURCE <br />PERMIT Combination • Plumbtnp WORK A teratlon Ela chic <br />TYPE Dart Iilion Slpn TYPE Naw as <br />I Sortr Ra drlMaint Cher <br />CONTRACT PRICE OF WORK S349.00 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />WORK DESCRIPTION <br />kcnunr%Replace Electric Water Heater <br />PLUMBING <br />MECHANICAL <br />O. TYPE OF FIXTURE OR ITE <br />NO, TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />A/C•A/HANDLING UNITS <br />------- <br />BATHTUB <br />------- <br />FORCED AIR SYSTEMS <br />______ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 3 DISPOSAL <br />_ <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />_______ <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />_ <br />METAL FIREPLACE/STOVE <br />URINAL <br />_ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER—__ <br />OTHER_______ <br />I HEREBY CERTIF Y THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />HROVIS:ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HERE) <br />OR NOT. THE GRANTING OF A PERMIT DOF-S NOI- 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 10.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Ageni �j! %� Date <br />07/15/2002 <br />