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Sent By: HP LaserJet 3100; 4258249516; Oct-4•05 10:32AM; <br />� <br />� <br />� <br />P�`tFtMIT APPLICATION <br />CITY OF EVERETT PERMfT SERVtCES <br />3200 CEDAR STREET, EVERET'T, WA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TAX I.D.i� <br />5131 IIARAOR LN, L•VERETI', WA 98203 0073280000� 900 <br />LEGAL LOT NO. BLUCK <br />OWNER ADDRE83 <br />BAVASI. RUBrKT & MARGKGT 5131 HARHUIt I.N <br />• F:VCRLTT.R'A 98203 <br />CONTRACTOR <br />FAST V�'Al'ER HtATFR COMPADIS' <br />PHONE 'a25)Bia-�iza <br />PROPOSED USE OFI <br />Pwce of woRK saav.uo <br />Pp�1F.I.A HILL <br />12601 132ND AVE N� <br />KIRKLANU, N'A 9R03� <br />WORK DESCRIPTION RentovdReplace Gas Wtttcr Heacer <br />_� LAVATORY (WASH BASIN) <br />9HOWER <br />KITCHEN SINK 6 DISPDSAL <br />J_ DISHWA9HER <br />UIUNDRY TRAY <br />,_ CLOTHES WASHER <br />^_,_._ URINAL <br />ORINKING FOUNTAIN <br />,� FLOOR DRAIN <br />BACKKLOW PREVENTER <br />_�_ SINK (tiRY1C�lBAR1MOPIE'TC.) <br />____ OTHER��,� � <br />-- � <br />WORK <br />Page 2 <br />tonaas <br />PMONE <br />(aas}A73-nt�7 <br />4?S R14-3121 x133 <br />CONTR.LICENSEN <br />FA57'WllCOS2DF <br />02/16/2007 <br />Nl�nnon <br />Naw <br />FORCED AIR SYSTEMS <br />MEAT PUMP <br />UNIT HEATERS <br />CtOTMES �RYER <br />RANGE HOOD <br />WATER NEATER <br />ME1AL FIREPUCEISTOVE <br />FIREPIACE INSERT <br />GA3 FIREPlJ10E <br />OAS RANOE <br />OAS PIPINd <br />EXHAUSTfAN <br />OTHER__________� .__. <br />, HEREBY CERTIFY Tw1T I NAVB REA� AND EXAMINED THISAPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISI0N5 OF LAWS ANO ORDINANCES GO� ERNING TH�S 1YPE OF WOZK WILL BE COMPLIED WIHT WMETNER SPEGFIED MERE <br />'JR NOT. TNE GMNTING OF A PERMIT DOES NGT PRESUME TO GNE AUTIIORIiY TO VIOLATE OR CANCEL THE VROVISION OF ANY <br />OTMEFi STATE OR LOCAL lAW REGULATIN�; CONSTRUCTION CR THE PERFORMANCE OF CONSTRUC710N. TFiAT I AM AUTHORIZED <br />BY tME 9WNER OF THI.S PROPERTY TO PERPORM THE WORK POR WMIC�/ APPLICATION IS MADE ANO I COMPLV WITH TME STATE <br />CONTRACTORS LAW 18.27 RCW ANO 298.200 WAG. <br />of OwnedContnetorlAWhodsed OBen� ; r_,.. `.: • ,; ,p : �_ "�_;�� �'�� 1i);042005 <br />u�}9i <br />