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Sent By: HF LaserJet 3100; 425f249516; Mar-31•06 11:11Ald; Page 5/7 <br />P�f�(VIIT A�'PLiC�►TIOI� <br />CITY OF �VER�TT PERNIIT SERVt�ES ;_ �,� _L �; <br />3200 CEDAR STREET, EVERETT, �NA 98201, 425-257-8810 �;;lu� <br />�� <br />ADDRESS <br />4RCEL TAX I.D <br />2112 I_LXINGTON AVE, F,vL•'kBTl, W� ��B?�3 OOSA470U8uU'�UU <br />LEGAL LOT NO. BLOCK � <br />.� — <br />OY'INHR ADDRE53 <br />21I� LCXiNGTON AVL' <br />IiE7"1�hVONG, SOhiSANI'I�I� , pvi�.kl'.TT. \1'A 98:03 <br />NAME <br />CONTRACTOR <br />fAST WATF.R HtATF.R ('OMPANY <br />pAM[.I.A HILL <br />12G01 132ND AVE NE <br />KIRKLA:�'n. WA 98034 <br />PH� (425)814-1124 (�'� <br />PROPOSED USE QF BIJILDING ����^o HM_echmlc <br />PERMIT Com6lndlon y�r�umbinp <br />Np� Demo111ion L.�9�po <br />CONTFiACT PRICE OF WORK 5349.Q0 r�TITY 6F <br />WORK DESCRIPTION Remove%Replace Llectric Weter I leater <br />WkTER CL63ET <br />BATM TU B <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />�ISHWASHER <br />LAUNDRY TRAY <br />GIOTHES WASHER <br />UR�NAL <br />DRINKING FOUN7AIN <br />FLOOR DRA�N <br />BACKFLOW PREVENTER <br />SINK (BERVICEIBAR/MOPIETC.) <br />OTHER --� <br />�— <br />TYPE <br />PERMIT# <br />�j% �/'�� _��G';. <br />PHONE <br />(435)SS$-72R0 <br />New <br />425 81a•112d x13: <br />CONTR.LICENSE�F <br />FAtiTN`W7I9dHHC: <br />OliOi:?008 <br />�� <br />AIG-NHANOIING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />Cl.OTHES DRYER <br />RANGE NOOD <br />WATER HEATER <br />METAL FIREPtACElSTOVE <br />FIREPIACE IN9ERT <br />GAS FIREPLACE <br />GAS RANGE <br />OAS PIPING <br />EXHAUST FAN <br />OTH E R-----_� �---------'-- <br />I HEREt3Y CERTIGY TFiAT I N:1VE REAO MD EXAMINEO TNIS APUGATION AND KNOW THE SAME TO 8E TRUE AND CORP.ECT. ALL <br />PROVISIONS OF LAWS A40 OROINANCES GOVERNING THIS TYPE OF WOF.K W4L BE COMVLIED WIH7 WMETHER SPEGIfIEO HERE <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTkORITY TO VIO�ATE OR CANCEI THE PROVISION OF ANY <br />OTHFR 57nTE OR LOcnL u.w REc'�uLATING CONSiRUCTION OR T�1E PER"ORbvv+GE OF CONSTRUCTION. TMAT I AM AUTHORIZEO <br />BY TNE OWNEii OF TNIS P�OPERTY TO PERFORM TFIE WORK FOR WHICF APPLICATI04 IS MAOE AND I COMPLY WIiH 7ME STATE <br />chvTRnCTORS LAW 18.77 RCW AN� 29620� WAC. <br />' �ate �3;31l2U06 <br />o� OwnodContrecmdAulhorixed ABem , ,_ _ . . , ,� ,.� � - �" <br />tn em <br />