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Sent By: HP LaserJet 3100; <br />425�?4951�; Jun-27-06 1[3:4EP1,1; Page 2/4 <br />; . PEkII��T' ApPLICraTl�n1 <br />��i�� �ITY OF EV�R�TT P�RPJIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 4: 5-25?-8II10 <br />uh��oe <br />SITEA�OR�SS rPARCELTAXI.D.# �—PERMITtt <br />8407 iR AVL• \'�'�11•:OS, EVL1'iL-.TT, �VA 982U4 0070540112(:.5(;0 <br />LEGAL lOT NO. BI.00K <br />D ES,� _ <br />OWNER ADDRESS <br />;1NDERJJV, JAC1�1F. R�107 IS AV� \V �'1I-205 <br />• EVEItGTT, WA 98204 <br />E <br />i�.�rfr•.r.n Hi�L <br />E <br />CONTFtACTOR ADDRESS <br />F:1ST'.VATEK HGATF.R COb11'ANY 12601 132ND AVF. iJL <br />(425)R14-3124 KIRI:LAND, 1VA 9803� <br />PHON� <br />PROP05ED USE OF BUILDING aaudinfl Machanlca WORK <br />PERMIT ComElnaUon PlumDin9 <br />IYPE D�motitian :ipn TYPE <br />CONTRACT PRICE OF WpRK y3qy,�p <br />WORK DESCRIPTION Ri���i�����ZeplaceElectric Wflterl[eater <br />WATER CLOSET <br />BA7HTUB <br />l.AVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />IAUNDRY TfdAY <br />CLO7HES WASHER <br />URINAL <br />DRINKING FOl1vTAIN <br />FL6oR �RAIN <br />6ACKFLOW PREVENTER <br />SINK (3ERVICEJBAR/MOP/ETC,) <br />OTHER__�W_ <br />� <br />MJ����.,.;� <br />PHONE <br />(,1?.51267-33'.2 <br />PHONE <br />.�zs s:�-.i�a�:i,z <br />CONTR.LICENSE# <br />PASTIV WH94813C <br />oi�ojrzoox <br />wamnon HEAT SOURCE <br />Allefation QEleclric <br />Now f�cas <br />CODEIS 3105 <br />AJC-A/HANOLING UNITS <br />FORi,EO AIR SYSTEM5 <br />HEAT PUMP <br />UNIT fiEATERS <br />CLOTHFS DRYER <br />RANGE NOoO <br />WATER HEATER <br />METAL FIREPLACEISTOVE <br />FIREPLACE INSER7 <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPIN� <br />EXHAUSTFAN <br />D7H E R---------�------------- <br />� <br />I HERE6Y GERTIFY THAT I HAVE R[AD AND EXAMINF.D THIS APUCATION A�ID KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIUNS OF LAWS AND CF:DINANCES GpV[RNING THI� TYPE OF WOFtK WILlBE COl.1PLIED WIHT WHETHER SaEC�FIEO HERF <br />OR NOT. TNE GRAN'f1NG OF A PERMIT DOES NOT PRESUIdE YO GNE AUTh'.GR�TY f0 VIOLATE OR CANCEL THE PROVISION OF AN'f <br />01 HER STATE OR LOCAL lAW REGULA7ING CONSTRUC710N OR THE pFR%ORMANCE OF CONSTRUCTION. THAT I AM AUTHOR12F0 <br />BY THE OWNER OF THiS PROPERII' TO PERFORM THE WOtZK FOR WHICI I APPUCATION IS MADE AND 1 COMPLY WITH TNE STA7E <br />CON7RACTOR6 LAW 1U.27 RCW AND 296.200 WAC. <br />aturo of ownerlContractorlAuthorizod A9om �„_.. :� ,�..y.'r: i' O°�° 06/27/2006 <br />