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3ent By: HP LaserJet 3100; 4258249576; Oct•30-OS 1 :27PM� Page 3/4 <br /> P�RMIT APPLI�ATION <br /> ���� CITY OF EVEAETT PERh11T SERVICES <br /> 3200 CEDAR STREET, EVERE7T, �NA 98201, 425-257-8810 <br /> i n:snos <br /> SITE ADDRES3 PARCEL T/Ut I.D.�f PERMITI! <br /> 3509 NORTOh AVE,GVEREi�1�,R'A 98201 au451400300,�ni) l, j I � �� <br /> LEGAL LpT NO. BLOCK (TRACT <br /> OWNER ADDRESS PHONE <br /> TF.ICiEN,JULIH 7509 NORTON AVE �-0386 <br /> • GV[RETT, WA 98201 (425)25_ <br /> TENANT NAME G�N7ACT NAME PHONE <br /> pnMELA H]LL 425 814-3124 x l33 <br /> CQNTRACTOR ADDRESS CONTR.LICENSEAt <br /> FAST WATER HEATF.R CUMPANY 12601 IJ2ND AVE NG png•�•W►TC052DF <br /> (425)814-3124 KIRKLAND,�1'A 98034 02/16.200) <br /> PROPOSED USE OF BUILDINO Bu11a�^o M�eA�Noa �eaiuon H T SOURCE <br /> P�RMIT ComblMpon P�umOMy W0� AIhr�Hon 81�ctrk <br /> TYPE DwnollNon S.yn TrPE n�w as <br /> tL �{rM�ln1 r <br /> CONTRACT PRICE OF WORK 54-09.00 CITY OF EVLRETT LOCAL SALES TN(CODEIS 31p5 <br /> WORK DESCRIPTION KemovelReplate Gxs 14Arer Hcater <br /> 81 6CM� AN�CAI <br /> U TYPE OF FIXTUR R 1 <br /> !_ WATER CLOSET ,_____ IVC-AINANDLING UNITS <br /> __ SATNTUB ___ FORCED AIR SYSTEM9 <br /> __� LAVATORY(MYASN BASIN) ____ HEAT PUMP <br /> SHOWER �_ UNIT HEATlRS <br /> _____ KiTCFIEN SINK 8 DISPOSAL _____ r.LOTMEs DRYER <br /> __ DISHWASHER ,_ RANGE NOOD <br /> �__ �AUNORY TRAY ��� _ WATER MEATER <br /> ___ CLOTNES WASHER ____ METAL FIREPWCEISTOVE <br /> URINAL __�_ FIREPUCE IN9ERT <br /> ____ ORINKINO FOUNTAIN _,_�_ GAS FIREPLACE <br /> _ fLOOR DRAIN GAS RAN6E <br /> �_ BACKFLOW PREVBNTER ._____ GAS PIPIN6 <br /> _� SINK (SiRYiCFJBAR/MOPliTC.) _�_ EXNAUST FAN <br /> »_ oTMER_ ---- OTMER-------------------- <br /> I MEREBY CERiIFY THAT I NAVE REAO/WD EXAMINQD THIS APLICATION A�ID KNOW THE SAME TO BE iRUE AND CORRECt,ALl <br /> PROVISIONS OF LAWS ANO ORDINANCE6 GOVERNING THIS TYPE OF WORK WIIL BF.COA�tPLIED WIHT WHETNER SPECIFIED M[REI <br /> OR NOT.THE GRANTING OF A PERMiT DOES NOT PRESUME TO GNE AUTI ORIN TO VIJLATE OR CANCEL TME PROVISION OF ANV <br /> p7nEfi STATE OR IOCAI LAW REGULATING CONSTRUC710N OR TME PER'ORAIIWGE OF CONSTRUCTION.TMAT I AMAUTMORIZED <br /> BY THE OWNER OF TH16 PROPERTV TO PERFORM THE WORK FpR WHICI I APPLICATION IS MAOE AND t COMPIY WITM TME STATE <br /> CONTRACTORS LAW 18.Z7 RCW AND 295.200 WAC. <br /> Slpnaturo o!OwneqContnotorlAuthorla�d AyaN �.,., f„_ �,.�•��.�,. Dat� ���302��5 <br /> oi.w� <br />