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- F 'RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />CK 1 399 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />931 93 ST SW, EVERETT, WA 98204 00534000001200 <br />LEGALI LOT NO. BLOCK (TRACT <br />DES <br />OWNER ADDRESS PHONE <br />NORDY, JOHN 1. 931 93 ST SW' (425)513-2201 <br />EVERETT, WA 98204 <br />TENANT NAME 1CONTACTNAME PHONE <br />' NNII I -A (III I. 425 I I 1-3124 cI33 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />I AST WATER HEATER COMPANY 12601 132ND AVE NE FASTW'H('052DF <br />HONE <br />1425)814•3124 KIRKLAND. WA 98034 02/1612005 <br />PROPOSED USE OF BUILDING Building Mechanics WORK Additlon HEAT <br />SOURCE <br />PERMIT Combinellon Plumbin Alteradon Electric <br />TYPE Demolition Sign TYPE New as <br />So r r Reps' Other <br />CONTRACT PRICE OF WORK y349 (10 CITY OF EVERETT LOCAL SALES TAX CO)EIS 7105 <br />WORK DESCRIPTION Remove/Rcplace Electric Water Heater <br />PLUMBING MECHANICAL <br />INO I TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM_ <br />WATER CLOSET A/C•A/HANDLING UNITS <br />BATHTUB --___ FORCED AIR SYSTEMS <br />------- LAVATORY (WASH BASIN) —�_ HEAT PUMP <br />SHOWER UNIT HEATERS <br />KITCHFN SINK 6 DISPOSAL CLOTHES DRYER <br />DISHWASHER RANGE HOOD <br />LAUNDRY TRAY WATER HEATER <br />CLOTHES WASHER _ — METAL FIREPLACE/STOVE <br />URINAL FIREPLACE INSERT <br />DRINKING FOUNTAIN GAS FIREPLACE <br />— FLOOR DRAIN -�_ GAS RANGE <br />BACKFLOW PREVENTER GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br />----- OTHER,-------- — ---___ 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 HERE( <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU rHORITY 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 I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />(Signature of Ownor/Contractor/Aulhorized Agen•! �r'G® _��� Date 01/28/2004 <br />ul sni <br />