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Sent By: HP LaserJet 3100; 4258249516; Dec-22-05 8:32AM; Page 2 <br /> PERMIT APPLICATIO�N <br /> ��r� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEF2ETT, �NA 98201, 425-257-8B10 iZ�2�s <br /> SITE ADQRESS <br /> PARCEL TAX�•�.� PERMIT# <br /> 5q�� PAItKViEW LN.EVL•RETI',W� y8203 <br /> 007953uU007700 N». ` � - ,� <br /> LEGAL LOT NO. BLOCK TRACT <br /> ADDRESS PHONE <br /> pWNER 5421 PARKVIL'W LN (425)353•67l? <br /> LANL',LINDA&I.ON . FV�k�n,WA 98203 <br /> CONTACTNAME PHONE <br /> TENAN7NAME pp�LAIIIT•L azs ata-�i'-�Y�:�3 <br /> CONTRACTOR ADDRESS CONTR.LICENSEIi <br /> FAS'I'HH�U52DF <br /> !AST WA'fER 11f,�T�R COMPA�IY 12601 132ND AVL'NF. ��Z������7 <br /> K1RKI.AND,WA 9803.� <br /> (4?5)814•3�Z4 ditbn 11 T SOURCE <br /> Bulldinp M�eh�nlu WORK Nqynen NctAc <br /> PROPOSED USE OF BUILDINO p4RMIT Comwn�Nan Flumelnp nP� N� �� <br /> TYPE WmollWn =+�An ti �klMalN � <br /> CONfRACT PRICE OF WORK SJ49.00 ��7Y aF EVERETT LOCAL SA�lS TAX C00lIS 7105 <br /> WCRKOESCRIPTION R�muvdgeplaternsWaterHearcr <br /> � ��MBIN(3 MECNANICAL M <br /> i U <br /> TYP � M a�.p�HANOLINO UNITS <br /> WATER CL09ET '"�� FORCED AIR SYSTEMg <br /> � BATNTUB '� � HEAT PUMP <br /> J LAVATORY(WASH 6ASIN) -'"'^ UNIT HEATERS <br /> - �� SMOW`R CLOTHES DRYER <br /> ~ KITCHlN SINK 6 DISPOSAL —""' RqNGE HOOD <br /> � DISHWASHER '""-j— WATER NEATER <br /> " 6AUNDRY TRAY METN. FIREPWCEISTOVE <br /> ---� cLOTHe9 WASHER "'^- FIREPLACE INSERT <br /> J'T URINAL RAS FIREPUCE <br /> — DRINKING 1'OUNTNN - GAS RANGE <br /> p�00R DRAIN --�-� GAS PIPIN6 <br /> BACKFLOW PREYlNTER -'—� �HpUST PAN <br /> —� SINK �sERYICEI9AR�MOP��•� OTHER___ ��---�------- <br /> � OTNtR— _—r--.� --- -- ---- <br /> -- -----'�'_""'__ ---_-- --------'--.^"------------- <br /> ..__ -- ---- ��_ ��._ — ��- � _ ---- <br /> 1 HEREBY CERTIFY THAi I HAVE READ AND E%AMINED TH�APLICATION nN0 KNOW 7HE SAME TO BE TRUE AND CORRECT.ALL <br /> R NOT.T1iE ORANTINO O�F A PEIRM TCDOES NO RPRESUME 0 GNC AUl NOaT�'TO V OV+TE OR CANCEL ETHE PROVESION OF NY�' <br /> BY TFiE OWNER OF�MIS P O ERTY OTPERFORMTTHE WORK OR WMI�C�H APP�L CA770N IS raADE AND ICOMPIYm H TME TA7E <br /> CONTRACTORS LAW 18,27 RCW ANn Z99�00 WAC. <br /> • Dat� �4n;200S <br /> 519natura of OwnedGontractorlAulhorized Agem �r::="�r ;.�;���_:j'y � " <br /> �-�—. <br />