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F 'RMIT APPLICATI.�N <br />CITY OF EVERETT PERMIT SERVICES <br />0-4 <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK 1337 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />1017 84 ST Sl:, EC"ERI;1 1. WA 98208 <br />28050700305400 <br />rnc>q q -c,,q 3 <br />LEGALI LOT NO. BLOCK <br />(TRACT <br />DE <br />OWNER ADDRESS PHONE <br />1017 84 ST SE <br />1. <br />GARRETT, MARY (425)355 9214 <br />EVERETT, WA 98204 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />I'ANIELA 1III-L <br />425 814-3124 x 133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />12601 132ND AVE NE <br />I;ASTWII(Us2I)I <br />PHONE t4251K I a-3124 <br />KIRKLAND, WA 99034 <br />02/16/2005 <br />PROPOSED USE OF BUILDING <br />Building MechanicalAddition <br />HEAT SOURCE <br />PERMIT <br />Combinatlon "Plumbing <br />WORK <br />ARcradon <br />Electric <br />TYPE <br />Demolition Slgn <br />TYPE <br />Now <br />as <br />r r <br />Re AWmalnl <br />ther <br />CONTRACT PRICE OF WORK S349.00 <br />CITY OF EVERHTT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />licnumrgicplaec Electric Water I Icalcr <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />_______ <br />WATER CLOSET <br />-------- <br />A/C-A/HANDLING UNITS <br />______ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />____ <br />LAVATORY (WASH BASIN) <br />_______ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />------ <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />_____ <br />BACKFLOW PREVENTER <br />GAS PIPING <br />--- __ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />----- <br />OTHER----------------- <br />----- <br />------- <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 S1ATE 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 Ownor/Contractor/Authorized Ageni ___. �, ;� -- Data UIi21,'2004 <br />ui oil <br />