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Sen: �y: HP La=erJet 3100; <br />42582495�6; Oct-25-Q� '::aOPlS; Page 3/3 <br />; -- PEklylllT APPLI�CO,TiON <br />����CITY OF EVERETT PERAAI'�' SERVI�ES <br />3200 CEDAR STR�ET, EVERETT, JUA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TA�' I.D.# <br />2?IS LAkL1N DR, EVERETT, WA 98203 OU6L'37UUUI6 �00 <br />LEGAL LOT NO. BLOCK <br />Di: <br />OWNER ADDRESS <br />I,ovoi n, nNTONIA 25�}1 LARI.TN nR <br />• LVtKETT, �VA 98203 <br />TENANT NAME CONTACT NAME � <br />PAMGI.A HILL <br />CONTRACTOR ADDRESS <br />FAST WATER HEATER COMPANY 12601 132NU AVG NC <br />(425)614•3124 KIRI:I.�ND, WA 96U34 <br />PROPOSED USE flF BUILDING Bwm�nn Math�olu <br />PERMIT Combinsllon PI�imElnp YlORI <br />TYpE O�mo111ion Sl;�n TYPE <br />�yJp r <br />CONTRACT PRICE OF WORK �qy,00 C:TY OF EVEriF <br />WORK DESCRIPTION Ktinovdkcplate (ias Wulcr Heatcr <br />WATER CLOSET <br />BATHTUB <br />LAVAiORY (N1ASH BASIN) <br />9HOWER <br />KITCMEN SINK 3 DISPOSA� <br />DISHWASHER <br />LAUNDFiY TRAY <br />CLOTHES WASFiER <br />URINAL <br />DRINKING FOUNTAIN <br />fL00R DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEJBaR/MOPIETC.) <br />OTHER_��- �-- <br />�uasos <br />►1'105[ O- �S�i <br />PHQNE <br />(425)357-5417 <br />PHONE <br />4'_5 814•3124sIJ; <br />CONTR,LICENSEi! <br />1'ASTWHCOSZDF <br />02�15%?UU7 <br />New <br />_______ A!G-AlHANDLING UNITS <br />_______ FORCED AIR SYSTEMS <br />_ ��_ HEAT PUMP <br />__�_ UNIT HEATERS <br />___ CIOTHES DRYER <br />__ _ RANGEHOOD <br />_ _!__ WA7ER HEATER <br />___ METAL FIREPLACEISTOVE <br />_ ______ FIREPLACE INSERT <br />_._! OA9 FIREPLACE <br />_.__ GAS KANGE <br />__�_ GAS PIPING <br />__�_ EXNAUST FAN <br />--- OTHER------------------ <br />-._.._- l ---•____— <br />HEREBYCERTIFY THAT I HAVE REAO ANO EXAMINED TH5 APLICATION AN[ KNOW THE SAME TO BE TRtJE ANO CORRECT. ALL <br />'ROVISIONS OF LAWS AND ORDIMANCES GOV[RNING THIS TVPE OF WORh WIIL BE COMPLIEO WIHT WY.ETHER SPECIFIED MERE <br />)R N0T hiE GRANT7NG OF A PERMIT DOES NOT PRESUME TO GNE AUTNO�ITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br />)THER STATE OR LOCAL LAW REGULATING CONSTRUCTIDN pRTHE PERF(�RMANCE OF CONSTRUCTION.IHATIAMAUTHORIZEO <br />iY THE OWNER OF TNIS PROPERTY TO PERFORM THB WORK FOR WMICHF�PPUCATION IS MADE AND 1 COMPLY Wf(H TME STATE <br />:ONTRAGTORS LAW 18.27 RCW AN� 298.200 WAG. <br />of OwnedControclotlAutha�lzed Apani _. _ ,. : .� �. � Date IOi?5/2005 <br />u� �n. <br />