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G AERMIT APPLICAT,JN <br />CITY OF EVERETT PERMIT SERVICES <br />4r77- <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />018920 <br />SITE ADDRESS <br />PARCEL TAX LDA <br />PERMIT# <br />721 89 ST SG EVERETT, WA 982O8 <br />00729300000500 <br />M o3oq-pi <br />LEGAL <br />LOT NO. <br />BLOCK <br />TRACT <br />OWNER <br />ADDRESS <br />PHONE <br />DIETZMAN, JAMES <br />721 89 ST SI? <br />(1251290.5797 <br />EVERETT, IVA 98208 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />I'AMELA IIILL <br />425 814-3124 s133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST IVA] Elt IIFATI;R COMPANY <br />12601 132ND AVE NE <br />FASTWHC052DI: <br />PHONE (425)814.3124 <br />KIRKLAND, WA 98034 <br />02/16/2005 <br />PROPOSED USE OF BUILDING <br />Building Mechenlca <br />Addition <br />H AT SOIIRCE <br />PER <br />Combinalion Plumbing <br />WORK <br />Alleraaon <br />Electric <br />TYPE <br />Demolition Sign <br />TYPE <br />Now <br />as <br />- r r <br />Re alr/Maint <br />Cher <br />CONTRACT PRICE OF WORK S449.00 <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Remove/Replace Gas Water I Icatcr <br />PLUMBING <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 />------- <br />FORCED AIR SYSTEMS <br />------- <br />LAVATORY (WASH BASIN) <br />—__—_ <br />HEAT PUMP <br />------- <br />SHOWER <br />UNIT HEATERS <br />------- <br />KITCHEN SINK 6 DISPOSAL <br />_ <br />— _ <br />CLOTHES DRYER <br />DISHWASHER <br />__ _ <br />RANGE HOOD <br />------- <br />LAUNDRY TRAY <br />--� <br />WATER HEATER <br />—_—_ <br />CLOTHES WASHER <br />--__ <br />METAL FIREPLACE/STOVE <br />URINAL <br />---_ <br />FIREPLACE INSERT <br />--___ <br />DRINKING FOUNTAIN <br />—__ <br />GAS FIREPLACE <br />—_—_ <br />FLOOR DRAIN <br />—_—_ <br />GAS RANGE <br />—----- <br />BACKFLOW PREVENTER <br />—__ <br />GAS PIPING <br />_______ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />—__ <br />EXHAUST FAN <br />----- <br />OTHER-------_.___------ <br />OTHER------- <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 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 MACE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature of Owner/Contractor/Authorized Agent i�N : `_� Date 09/05/2003 <br />