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Sent By <br />HP LaserJet 3100; 4258249516; Jan-B-C6 5:26PM; <br />,-�� 1� ERMIT APPLICATIUN <br />�i��� ClTY OF EVERETT PERMIT SERVICES <br />'� 320Q CEDAR STREET, EVERETl', WA 98201, 425-257-8810 <br />ARCEL TNX L� <br />2232 RAINItRAVE, EVFRF'Cf, WA 98201 Q04015473��17UU <br />LEOAL LOT NO. BLOCK <br />OWNER AODRESS <br />BOSTON, CHARL01'I'k =232 RAINIER AVL <br />• L'VERETT, WA 982U1 <br />PAMLLA HILL <br />CONTRACTOR IADDRESS <br />FASTWA'fBRI{L•ATGItCUMNANY 1260I132NUAVF.NF. <br />(425)814-3124 <br />KIFUCLANU, WA 9603� <br />PROPOSED USE OF BUILDINOI I�e�nm� <br />PERMIT Combli <br />TYp� Mmoli <br />_ deNnk <br />CONTRACT PRIC! Of WORK S4J9.00 <br />WORK DESCRIPTION Rcmovc/Rcplace Gas Water lleater <br />BATHTU6 <br />LAVATORY (WA5H BASIN) <br />SHOWER <br />KITCMEN SINK 6 OISP08AL <br />DISHWASMlR <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAI <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICElBARIMOPf67C.) <br />OTHER <br />tlummnp <br />ilpn <br />Of <br />� <br />� <br />Page 2/3 <br />i����,6 <br />u�u��uo <br />i°A �ila L I - Cil `1 <br />PHONE <br />(4?>)388•OIGS <br />PHONE <br />42� 314.51?a x133 <br />CONTR.LlCENS <br />tAJ'1'WHCU52DF <br />U'_/! G�'200 i <br />FORCEU AIR SYSTEMs <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTNES DRYER <br />RANGEHOOp <br />WATER HEATER <br />ME7AL FIREPIACElS70VE <br />FIREPLACE INSERS <br />GAS FIREPLACE <br />GAS RANGE <br />GA9 PIPlNO <br />EXHAU&T FAN <br />OTHER _�_____—___— <br />I MEREBY CERT�FY THAT I NAVE REAO ANDl�I(AMINED TNIS APIICATION MID KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS /WD ORDINANCES GOVERNING TFHS TVPE OF WOI:K WILL BE COMPl1:D WINT wHETHER SPECIF�EO NERE <br />OR NOT. Ti1E GRANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL lAW REGULATING CONS�RUCTION OR THE PiRt'ORMVWCE OF CONSTRUC710H. THAT 1 AM AUTMORIIF� <br />EY TTiB OWNER OF THIS PtiOPERTY TO PERFORM THE WORK FOR WIiICF• MPIICATION IS hUDE AN61 COMPLY WIYM TME STATE <br />CONTRACTORS LAW 18.27 RCW ANO 298200 WAC. <br />of OwnaqGontnctodAuthorlcetl Apen1 �,; _:=�'.,,.. , ���'�_ •�. - Dete U1/U9�20UG <br />u� w� <br />