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Sent By: HP LaserJet 3100; 4258245��6; Feb-27•06 4:40PId� Page 3/3 <br /> �� PERMIT APPLI�ATION <br /> '�,�� CITY OF EVERETT PERMIT SERVICES <br /> �_ 3200 CEDAR STREET, EVERE'f T, WA 98201, 425-257-8810 <br /> 022706 <br /> SITE ADDRESS PARCEL TAY.I.D.A PERMITfI <br /> 7i20 F,1tiY SC,GVERF.TP, N'A 98203 003927U0001 l00 �O�G �_C <br /> LEGAL LOT NO. BIOCK TRACT <br /> OWNER ADDRE33 PHONE <br /> 7720 EA SY ST ��ub)��i-i n�i <br /> 9'HOM�S,AhtY • LV[RLTT,WA 98203 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMF.LA HILL 425 814-3124�133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEO <br /> FAS'1'N'ATF.R HEA'�TiR CUMYAiJY 12b01 132Nll AVE NF. PASTW WH9481iC <br /> F:IRKI.A\U,WA 9R034 01�032UU8 <br /> (d2S)H14-3124 <br /> eullalnp M.eMniw ditlon H AT SouRCE <br /> PROP05ED USE OF BUILDING pERMl7 Combin�Hon PIum6Mp WORK N��titi� ���etnc <br /> TYPE D�molilion 51pn TYPE New' Gn <br /> Re IrIMaI 1 Ih r <br /> CONTRACT VRICE OF WORK �a49.0U GITY OF EYERETT{.00AL SALlS 7Al(CODEtS J103 <br /> WORK DE5CRIPTION gemuvaReplacc L•'IeMric Wa�cr Henter <br /> �m�� MECHANLCAL <br /> p OF IXTURE OR 1 EM T iE <br /> WATERClOSET _,__ A!C-A/HANDlW6l1N1T3 <br /> BA'fHTUB ___�_ fORCED AIR STSTEMS <br /> J� �qVATORY (YVASH BASIN) __�_ HEAT PUMP <br /> � SHOWER �__ UNIT MEATERS <br /> KITCHEN SINK 6 OISPOSAI ______ CLOTHES DRYER <br /> DISHWASHER _ __ RAN(3E FIOoD <br /> LAUN�RY TRAY �„�__ WATER HEATER <br /> CLOTMES wASNBR �_ METAL FIP.EPLACEISTOVE <br /> � URINAL _.__ FIREPLACE INSERT <br /> DRINKINO FOUNTAIN �^_ OAS FIREPLACE <br /> � F400R DRAIN GAS RANGE <br /> sACKFLOW PREVENTER _______ GAS PIPINd <br /> __ SINK (SERVICEIBAR/FtOPlETC.) ______ EXHAUST FAN <br /> -- ` OTHER_� OTNER-------------'---' <br /> I HEREBY CERTIFY 1HAT 1 NAVE READ AND E%MAINEO THIS APIICATION AND KNOW THE SAME 1"0 BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF U1W5 ANO ORDINANCES GOVERN�NG TNIS TYPEOf WO;tK Wlll BE COA1PlIED WIMT WMETMER SPECIFIE�NERFI <br /> OR NOL TME GRANTING OF A PERMIT DOES NOT PRBSUMH TO GNE�UTi.ORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL lAW REGUUTING GONSTRUCTION OR THE PGRFORMhNCE OF CONSTRUCTION.TNAT 1 AM AUTHOR1IED <br /> 9r THE OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WMICH APPLICATION IS MA�F AND I GOMPLY WITH TME STATE <br /> CONTRAGTOFSLAW 1B.Y7 RCW�ND 296.2Q0 WAC, <br /> Signature oi Own�rlControclorfAuthorizcd Ayan� t.._;: ;>;- :.���'�,,_ f� pa�� 0227/2006 <br /> V�M� <br />