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Sen <br />t By: HP LaserJet 3100; 4250249516; Feb•21-06 10:27A1d; Page 3/5 <br />_ � _- <br />PEkMIT APPLICATION <br />�i��� CITY OF FVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 �`��-0 G <br />azzioc <br />$ITE ADDRE3S o�orai rwv � n r �__..._.. <br />:310 kAINIER AVE, EVEIIETI', WA 98201 <br />OWNER <br />MCCORMIC, SARAII <br />untv <br />FAS7' H'ATER HF,ATEkC'UMPANY <br />004016A960i7UU <br />f:►:'�i�rii <br />�1'ILL•. WA 98107 <br />CONTACTNAME <br />PAMF.I.A IIILL <br />I2601 132NU AVF.. NE <br />(4Z5)B14-3124 KfRKLANll, WA 98034 <br />PROP03ED USE OF BUILDIN e�umno w��on:me <br />P�eRM1T ComblMqon PI:�mElnp <br />TYPE OanoUYon il�n <br />CONTRACT PRICE OF WORK S?49.00 C:TY OF <br />WORK DESCRIPTION Remove/Replace Elccaic Water Heater <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN 61NK 4 DISP�9AL <br />DI9HWASMER <br />LAUNDRY TRAY <br />CLOTIiOS WASMER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRA1N <br />SACKFLOW PREVENTER <br />SINK (SERVICEIBAR1110P/�TC.) <br />OTMER <br />�b�0�;c'1- <br />PHONE <br />(2(M)229•8757 <br />425 814•3124 x133 <br />FASTIVWI19488C <br />Ol I03/2008 <br />N�w <br />_ _�__ A!C•AIHANDIING UNITS <br />_ _�___ FQRCED AIR SYSTEMS <br />_.�_ MfATPUMP <br />_,�_ UNfT MlATERS <br />_,__ CLOTNES ORYER <br />_ _ RANGEHOOD <br />_ � WATER HEAT[R <br />_.___ METAL FIREPIACEfSTOVE <br />_.� FlREPLACE INSERT <br />___ OAS fIREPIACE <br />_� GAS itANGE <br />_.� OA3 PIAINo <br />______ EXHAUSTFAN <br />_� OTHER----------------- <br />-� i � <br />F'. EREBY CERTIFY TNqT I MAVE READ AND EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE YRUE ANO CORRECT. ALL <br />ROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS 1YPE OF WORK wlLl B& COMPUEo WIHT WMETHER SPECIFIED HERE <br />iR NOT. 'ME GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTNOtUTY TO VIOLATE OR C�NCEL THE PROVISION OF �r <br />�TMER S7A7E OR LOG�L LAw REGULAT�NG CONSTRUCTION OR TME PERF04MurCE OF CONSTftucT�oN. n�Ar � aM �un�OR¢En <br />Y THE OWNER OF THIS PFiOPERTY TO PERFORM TNE WQltK fOR NMICH A�PLICAl10N IS MADE AND I COMPLY WITH THE STqTE <br />'ONTRACTORS LAW 18.27 RCW AND 298200 WAC. <br />of <br />Apeni �-� .c�'.-�� z �c:.;.. -• oat� uzrzinuub <br />u� �ai <br />