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Sent By: HP LaserJet 3700; 4258249516; Oct-4-05 10:33A�; Page 6/7 <br /> ,-� PERMIT APPLiCATION <br /> {�y�� CITY OF EVERETT PERMIT SERVICES <br /> `�._ 3200 CEDAR STREET, EVERETT, lNA 98201, 425-257-8810 <br /> iooaos <br /> SITE ADDRESS PARCEL TIJc I.D.A PERMITN <br /> 251bf.GRA'�UA�'G,GVERFTT. WA Y82U1 00$IG85A202?OU 'nl� �� I C -_ � <br /> ' Y ` <br /> L GAL LOT . BLOCK TRACT <br /> OWNER ADDRE88 PHONE <br /> 2516 E CRAND AVL <br /> $NELL,GORDON (52,5)339•5306 <br /> • F..VF.RF.TT, N�p 98201 <br /> 7ENANT NAME CONTACT kAME PHONE <br /> YAMCLA HILL q23 814•3124 s133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEX <br /> FAS'1'WATF.R HEATLKCO�T'AVl' 12601 ll2ND AVE Nt FASTWHC052U1 <br /> (425�814-3124 K1kK1.AND, WA 98034 OJI6lZU07 <br /> PROP05E0 USE OF BUILDIN sui�anp M��en�n�u �eaulon H�T souRCE <br /> PERMIT Cemeln�tlon ►I��mDlnp WORK ,y�Kayon ENeMc <br /> IYPE D�eIIWn 81gn TYPE N�vv .. <br /> R� rArMlm nw <br /> CONTRACT PRIc! 01'WORK S3a9.uu c,7Y OF EV[REiT LOCAL 6ALf6 TAX CODEIS at05 <br /> WORK DESCRIPTION KauovNRcP�ace Glectric Vl'atcr Hca[er <br /> �LUMB�NG �f;u�uir�� <br /> I I R <br /> _ WATER CLOSET __^__ AlPA/NANDLIN6 UNITS <br /> __ BATHTUB .______ FORCED AIR SYSTEMS <br /> _� LAVATORV(YYASM BASIN� .___ MEAT PURP <br /> � SNOWER .____ UNI� HEATERS <br /> ^__ KITCHEN SINK d DISPOSAL __�_ CLOTHES ORYER <br /> _ DISHWASMER _ _ RANGE Mp00 <br /> ____ �AUNORY TRAT __� _ WATER HEATER <br /> �_ CLOTHES WASHER ,___ METAL FIIiEPLACFISTOVE <br /> �� URINAL ___ FIREPUCE INSERT <br /> ! ORINKING FOUNTOIN ____ OAS fIREPLACE <br /> FLOOR DRAIN �_____ GAS W1NbE <br /> �A�I(FLOW PREVfiNT6R _ f3AS PIPIN6 <br /> _ SINK (8ERVICElYAR1MOPfETC,) ____ EXHAUST fAN <br /> ---- OTHlR______ ----- _�_ OTNER---------------- <br /> I MEREBY CERTIFY TFIAT I HAVE REAO AND E%AMINED TFiIS APLICATION AN�KNOW THE SAi.IE TO BE TRUE AND CORRECT,AL� <br /> PROVISIONS OF LAWS ANO ORDINANCE6 GOVERNING THIS TYPE OF WOR�<W�LL BE CON;PLiEO WIHT WMEiNER SPECIfIEO HE0.E1 <br /> OR NOT.THE GRANTING OF A PERAMY DOES NOT PRESUME TO ONE AUTHt)RITY TO VIOLATE OR CANCEL THE PROVISION OF MIY <br /> OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNG PERF�RMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED <br /> oY TME OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WMiCM�PP�ICAflON IS MAOE AND I COMPLY N1TM TNE SiATE <br /> CONTRACTORS UW 79.27 RCW ANO 298.900 WAC. <br /> Slpnalur� of OwnedContraeror/Aulhoris�d Apani �... � j..�.. :�-^�'� �. Date lU/042(105 <br /> u��n� <br />