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Sent By: HP LaserJet 3100; 425824951E; Jun-27-06 12:46P�.i; Page 3/4 <br /> ;���� P�RMIT APPL.ICATION <br /> CITY OF EVERETT PERPJIIT SERVtCES <br /> �,,, 3200 CEDAR STRF_ET, EVERETT, WA 98201, 425-257-8810 <br /> — Lr� S �� �i • r ) OG37U6 <br /> . � . <br /> SITE ADDRH3S PARCHL TA. I.d.# PERMIT# <br /> 5±05 EVP.RGRF.EN WnY, �VEAF.TI', WA 98203 280$OGOnIU!200 �-1 n ���� _ �� <br /> V� <br /> LEGAL I.pT NO. BLOCK �TRACT <br /> OWNER ADORE33 PHONE <br /> NEW R USED LIQDA'TRS(DAVID C �101 MLK 1R WAY S N212 ' i <br /> • SGATTI.C, R'A 93118 (_06)22) 8442 <br /> TENANTNAME CONTAC7NAME PHONE <br /> JOHN Ii�F.n(PEkMIT'I'U REN'I'CR) PAMELA HILL 425 F14-31�A x13: <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST R'A7'ER HL'ATER CpMPANY 12C01 132hD AVE NF. I'45TW WF194R6C <br /> (425)514-312�1 KIRKLANT), WA 9RQ3�{ 01/03%LUOS <br /> PRUPOSED USE OF BUILpING euim�np M�cnanin Aedition HEAT SDURCE <br /> PERMIT ComhlnYtlon PlumElnp WORK qlleraUon Elenric <br /> TYPE DemoliUon 51gn TYPE New cas <br /> � R! �irRAalnt Other <br /> CONTRACT PRICE OF WORK S349.0(1 CITY DF E'yERETT LOCqL SALES 7AX CODEIS 3105 <br /> WORK DESCRIPTION Kemmc/Replace Elettric Wutcr IIcatcr <br /> PLUMBING MECHANICAL <br /> NO. TYP OF FIXTURE R ITEM NO. 7YPE pf FIXTU E OR ITcM <br /> _____ WATER CLOSET A/C-AIHANDLINO UNITS <br /> ______ BATHTU9 � fORCED AIR SYSTEMS <br /> _______ I,AVATORY (WASH BASIN) __ FtEA7 PUMP <br /> ______ SHOWEA � UNIT HEATERS <br /> _____ KITCHEN SINK & OISPOSAL �' CL07HES DRYER <br /> _�_ DISHWASHER V R�NGE HOOD <br /> _____ 1AUNDRY TRAY �I_ Wln7ER HEATER <br /> ____ CLOTHES WASHER � J METAL FIREPLACEISTOVE <br /> _____ URiNAL FIREPLACE INSERT <br /> __�__ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DRAIN �� GAS RANGE <br /> __ BACKFLOW PREGENTER GA5 pIPIN6 <br /> __! SINK (3ERVICFJBAR/MOP1EiC,) �� EXFIAUST FAN <br /> OTHER�_ -- <br /> ---- OTHER----_^ <br /> 1 HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICA710N��,ND KNOW THE SAME TO BE 7RUE AND CORRECT ALL <br /> PROVISIONS OP LAWS AN�ORDINANCES GOVERNING THIS TYPE OF WC:RK WILL BE L'OMPLIEO WIHT WHETHER SPECIFIED HEREI <br /> OR NCT.711E GRAN7ING OF A PERMIT DOES NOT PRESUb1E TO GIVE AUTHORITI'TO VIOLATE OR CANCE�THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUL.ATING CONSTRUCTION OR THE P�FtFORMANCE OF CONSTRUCTION.1}IAT 1 AM AU7HORIZE� <br /> 8Y TME OWNER OF THIS PROP�RTY TO PERFORM TNE WORK FOR WHICH APPLICATIpN IS�MDE AND I COMPLY WITH TNE STqTE <br /> CONTHI�CT�RS LqW 1U.27 RCW/1N0:9E.20�WAC. <br /> Slgnature of OwnerlContrector/Authorized Aguni �...;: _,,. �.�.,•� .�. .. pate OG/27!?OO�i <br /> .-- <br /> uivm <br />