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Sent By: HP LaserJet 3100; 425824951i; Sep-2' -OS 17 :46Afd; Page 3/3 <br /> PEr2MIT APF'Li�p►TIC�N� <br /> �1��� ClTY OF EVERETT PERMIT SERVICES <br /> ;;.?00 CEDAR STREET, EVEREl?, WA 98201, a25-257-8810 <br /> 0921J5 <br /> SITE ADD�RE53 RARCBL T,4X I.D.# PER1�11T# <br /> 1212 LOMBAItD AVE,EVERETT. WA 98201 UU3972�4012��00 I rn d5�G- G� � <br /> LEGAL LOT NO. BLOCK lTRACT <br /> DE � <br /> OWNER ADDRESS PHONE <br /> 1212 T.OMBARD AVC (425)783•0206 <br /> MCCAFGREF„ANCikLIQUE . EVERETT,WA 96201 <br /> TENANT�IAME CONTACTNAME PHONE <br /> PAM:Lf� HILL 4�5 814•3124 a133 <br /> CONTRACTOR /kDDRESS � CONTFt.�lCENSE# <br /> FAST WATER HFA"CER COMPANY 12601 132ND AVF.NC FASTWI6�052DF <br /> (425)614•312A KIRKI.ANil,WA 98034 02/I6/200� <br /> PROPOSED USE OF BUILOING Bul�dinp Ma:henlea WORK �d�tlon HE T 90URCE <br /> PERMIT ComUlmlbn Plembin Nt�r,+Uon !acMc <br /> TYPE Domdition BIW� TMPg N'�' .c <br /> � pe NrM� ur <br /> CONTRACT PRICE OF WORK gq49.00 �� G��OF EVEREI?LQ�AL 9ALE9 TA%CpDE1S]105 <br /> WORK DESCRIPTION RemovdReplace Gas Water Iieater <br /> PLUMBING �AECHANIf,AL <br /> OF F�xTURE ITE �_I� OF •IXTtI E OR ITEM <br /> WATER CLOSET ______ A/C-AINANDIING UNITS <br /> BATHTUB � ___.__ FORCED AIR SYSTEMS <br /> ---__ I1+VATORY (WASH BASIN) __�_ HEA7 PUMP <br /> SHOWER ,__ UNIT HEATERS <br /> KITCMEN SINK 3 DISPOSAL _T GLOTHES DRYER <br /> � DISHWA9HER ,_ _ P,ANGE HOOD <br /> LAUN�RY fRAY �_ V7ATER NEATER <br /> � � GLOTMES WASHER _.r..� METAL FlREPLACEISTOV: <br /> T URiNAL ��_ FIREPLACE IN3ERT <br /> DRIIdKING FOUNTPJN . GAS FB2EPLACE <br /> fLa01i DRAIN . GAS QAN6E y <br /> BACKFLQW PREVENTER GAS HIP�NO � <br /> � SINK (S�RVICEIBARIMOPlETG.) .___ EXHAUST�W <br /> -- OTHER _�_ OTHER___----------' <br /> i ____ �_�"____—. � - --- —�.__.._.r�---_—'----- <br /> I HEREBY CERTIFY Tk4T I HAVE READ AND EXAMINED THIS APLIGATION AhG Y:NOW 7HE SAME TO BE 1'RUE AND CORREC'ALL <br /> pROVIS10N5 OF LAWS AND OR�INANCES GOVERNING THIS TYPE()F WOkX WILL 8ti COMPLIED WIHT WMETHFR S�'eCii'�[D HEREI <br /> Qfi NOT,THE GRANTING OF A PERMIT DOES NOT PRESUME T4 OIVE AUTH�RI7Y TO VIOLATE OR CANCEL THE PROViSl�N OF AP7Y <br /> BY 7HE UWNER OF�H S PRO ER OTPERFORM THE W�R FO WH CHAPP'LICACTION 3 M4�E ANOp'=��Ym'.i THE bTA'E <br /> CONTRACTORS LAW 1827 RCW ANO 248.200 WAC. <br /> D .' . �--�.��_�", Dnte 09/2I2005 <br /> SlpnaWre of OwnedContraetorlAuthefl7ced A eN ��-' <br /> u�.�v <br /> � <br />