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PEKMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />012706 <br />SITE ADDRESS <br />PARCEL TAX I.G.it <br />PERMITAt <br />709905TSW'.EVERETT, IVA 0A.04 <br />00741700002500 <br />nn/ ` Y <br />(,1(,) 1 <br />L GAL <br />LOT N0. <br />BLOCK (TRACT <br />�- <br />O NER <br />ADDRESS <br />PHONE <br />DOYLI.. I]TOMAS&PENNY <br />709 00 ST SW' <br />FVFRF.TT, WA 09204 <br />(425)317-054 <br />TENANT NAME <br />CONTACT NAME PHONE <br />PAMELA HILL 425 614-1124 033 <br />_ <br />ADDRESS _ - CONTR.LICENSE# <br />CONTRACTOR <br />FAST WATFRHEATER COMI'ANY <br />12601 1 32ND AVE NE FASTWNH948RC <br />KIRKLAND, WA 9P034 01/032008 <br />PH NE 1425)81,1.1124 <br />_ <br />BUllding Machsnlca pdd111on H T SOURCE <br />PROPOSED USE OF BUILDING <br />PERMIT comhlnallan Plumhlrq WORK NlaraS n :IacMr. <br />TYPE Damolllbn Sign TYPE New 3aa <br />- <br />R dr slot r <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3106 <br />LONTRACT PRICE OF WORK 5349.00 <br />WORK DESCRIPTION Remo%e Replace Electric W'aleT Heater <br />E4pL1�8dL� I OF FjnURG OR E-M <br />rLu B1� lNG <br />TYPE OF FIXTURE QR ITEM - <br />A)(?AIHANOLING UNITS <br />WATER CLOSET <br />- -' FORCED AIR SYSTEMS <br />BATHTUB <br />_-' ' - HEAT PUMP <br />LAVATORY (WASH BASIN) <br />'" --- <br />UNIT HEATERS <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />_ <br />—' — CLOTHES DRYER <br />''"` - <br />DISHWASHER <br />— ---RANGE HOOD <br />__ <br />LAUNDRY TRAY <br />I WATER HEATER <br />METAL FIREPLACEISTOVE <br />_--_ <br />CLOTHES WASHER <br />_ _ I <br />FIREPLACE INSERT <br />URINAL <br />DRINKING FOUNTAIN <br />—„_-.- <br />I GAS FIhEPLACE <br />FLOOR DRAIN <br />=_ <br />_ GAS RANGE <br />hACKFLOW PREVENLER <br />--- I GAS PIPING <br />FAN <br />SINK (SERVICE/BARIMOPIETC.) <br />_ -- <br />--- <br />FY THAT 1 HAVE READ AND EXAMINED THIS APLICA11ON ANDKNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HERE(NTING <br />' AWS AND ORDINANCES GOVCRNING <br />OF A PERMIT DOES NOT PRESUME 1O ONE AUTHOPITY TO VIOLATL OR CANCFL T11[ PROVISION OF ANY <br />FHERFRY <br />CTIONWOROFORRWHIIC / AAPPILICATION S MADF AND COMPLLY WWWONSTRUCTION. THAT I �M THE 9TTATGO <br />)R C LAW <br />PRO ER Y O pr%RFDRM THEULATING <br />OF T1ATE 5L <br />LAW 18.77 RCW AND 296.200 WAC. <br />Data <br />SlRnatum of OwnerlCOntractorlAUthorl¢od Again - - -o ��^' 03/L7,2006 <br />