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Sent By: HP LaserJet 3100; <br />4258249516; Apr-12-06 8:25A�d; Page 3/6 <br />PERiv►lT APPLICATION <br />��i?� CITY OF EVE�ETT PERhAIT SERVICES <br />3200 CEDAR STREE"I, EVERETT, VJA 98201, 425-257-5810 <br />SITE ADDR <br />592? f.0'v7Bqltn AV�:, CVERF'I'f, V✓A 9X2111 <br />OWNER <br />G1LI.EN, MAGCiTE N;. LOU <br />4FiCEL Ta{ l.D.# <br />OC49530110.100 <br />ADDRE33 <br />5')2: I,OM118A1LIJ AVC <br />GVERF.TI', WA 98201 <br />CONTACT NA <br />I'AMtLA ITILL <br />CONTRACTOR ADDRESS <br />Fi\S'I'WATERHEATERCOMPANY 12(01132NDAVL•'NE <br />_QHONE (`�'S1R14-3124 <br />KIRKLANU, WA 9503a <br />PROPOSED US@ OF Bl11LDING eulltlinp mechan�ca <br />PERMIT com6lnatlon t+wmbing W�R� <br />TYPE o.molilion g�pp T1'PE <br />CON7FiACT PRICE <br />WORK DESCRIPTIDN <br />$34yAU <br />Remuve/Replacc Llectric Watcr Hearer <br />WATER CLOSET <br />BATHTU6 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 OISPOSAL <br />OISNWASHER <br />LAUNQRY TRAY <br />CLOTHES WASHER <br />URINA4 <br />DRINKING FOUN7AIN <br />FLOOR URAIN <br />BACKFL4�W PREVENT�f2 <br />SINK (SERVICE/BARIMaP/ETC,) <br />OTHER, <br />'� 1 <br />� <br />oai�u� <br />PEF�MIT# <br />�Y1 o(a l7�{ — U t � <br />PHONE <br />(20fi)465-�JaS <br />425 814-31?4 xl'33 <br />CONTR.IICENSE# <br />rAS�l�1V\VH9a81i(.' <br />Q I /03R008 <br />Al laratlon <br />Nc�w <br />A!C-A/HANOIING UNI75 <br />FORCED AIR SYSTCMS <br />HEAT PUMP <br />UNIT NEATERS <br />CLOTHES DRYER <br />it�INGE HOOD <br />WATER HEATIER <br />METAL FIREPLACElSTOVE <br />FIREYLACE INSERT <br />DAS FIREPLACE <br />GAS fL4NGE <br />GAS PIP�NG <br />EXHAVST FAN <br />OTHER_„ _„_______ <br />IS ;{705 <br />� <br />HERE6Y CERTIFY THAT I NnvE READ AND EXAMINED THIS AaLICATION:�ND KNOW THE SAME TO BE TNUE AND CORRECT. ALL <br />'ROVISIONS OF LALYS AtJ� OR�iNA�,^.ES GPVERNING 7HI5 TYPE OF WfiRK WILL OE COMPLIE� WIHT WHETHER SPECIFIED HERE <br />)R NOT. THE OHMNTING OF A PERMIT GOES NOT PRESUfAE TO ON[ AUTMORI7Y 70 VIOLATE OR CANCEL THE PROVISION OF ANY <br />)THER STATE OR LOCA� LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT IAM AUTHORIZED <br />iY TH� OWNER OF THIS PROPERTY TO PERFORA7 THE WORIC FOR WNIC:FIAPPLICATION IS MAOE ANJ I COMPLY WITH TNE STATE <br />:ONTRACTORS LAW 16,47 RCW ANp 2�J8.200 WAC. <br />oi OwnorlContraelorlAuthofized Apunt �.,_ ; �.-�„r :1-�;�-�:.,� :..- nate � <br />- oa�i..i2ooF <br />ui ��i <br />