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Sent By: HP LaserJet 3100; 4258249576; lday•23-06 12:e2PM; <br />��� <br />P�RMIT APPLI�ATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, lNA 98201, 425-257-8810 <br />SG24 FLCMING ST, F.VLhL•TT, R'A 9R2U3 003932(lU�)UU:�UU <br />LEGAL LOT NO. BLOCK <br />O — <br />OWNER ADDRESS <br />SG24 PLGMLNG ST <br />COREY,.IOYCL&DENNIti . F.VF.RF:'I"I',WA98203 <br />TENANT NAME CONTACT PlAME � <br />PAMELA HII.1. <br />CONTRACTOR ADDRESS <br />FAS'f WATF.R HkA'fG2 COMPANY 12G01 132ND AVF. NE <br />(425)811-3124 KIRKLANT), V.'A 98034 <br />PROPOSED USE OF BUILDING �uuaino M�ic�rnica WORK <br />PERMIT Combination Plumt+ing <br />TYPE Dompllllan 81��� NPE <br />CONTRACT <br />5449A0 <br />WORK DESCRIPTIDN Remavdheplace Gav Water Ileatzr <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCFIEN SINK S DISPOSAL <br />DISHWASHER <br />LAUNORY TRAY <br />CLOT►iES WASHER <br />URINAL <br />DRINKING FOUN?AIN <br />FLOOR DRA1N <br />BACKFLOW PREVENTER <br />SINK (SERVICEJBARIMOPlETC.) <br />OTHER,---� -- <br />� <br />� <br />Page 2 <br />Q533UG <br />PERMIT# <br />rn����-U 5 � <br />11.[�I:� <br />(42S)290-92q3 <br />PHdNE <br />425 R14-312� �1i3 <br />FAS7'W �VI�194RAC <br />O1/U3/200R <br />NlHatlon <br />N�w <br />3105 <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLO?MES ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIREPLACEJSTOVE <br />FIREPLACE INSERT <br />OAS FIREPUICE <br />GAS I2ANGE <br />6AS PIPING <br />EXHAUST FAN <br />OTH ER______,..__�____.,— <br />I HERE9Y1GERTIFY THAT I HAVE READ AND EXAMINED TH�S APLIGATION AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES c:pVERNING THIS TYPE OF WOR < WIIL BE COMPLIE� WIHT WTIETHER SPECtF1E0 NERE <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU7H�)RITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAI. LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N. TMAT I AM AUTHORIZE� <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH A�PLtCATION IS MADE AND I COMPLY WI7M TME STATE <br />CONTRACTORS LAW 182T RCW AND 296.2a0 WAC. <br />natura of OwnedContrectorlAuthorized Ageni � .••-.- . :-�� _ ,� _ .'�_: y- • Data 05/23/2006 <br />UI?�� <br />