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Sent By: HP LaserJet 3100; 4258249516� Jan•2�-06 10:38AM� Page 2 <br /> ,-�� PtRMIT APPL�CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ,_ 3200 CEDAR STREET, EVERETf, WA 98201, 425-257-8810 <br /> o i zan�; <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2ZU2UAICGSAVE-UPPFR,F.VF.RFTI', WA 9R201 00439W77U3UU? r\ ��� / <br /> 11 " l/� <br /> LEOAL LOT NO. BLOCK ITRACT <br /> OWNER ADDRESS PHONE <br /> KAl"11GL,KA1'HIE Z�02 UAKES A\'E•UPPF.R (SOU)729•3773 <br /> • EVLKL'I'I�, WA 98201 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMFI,A IIiLI q2i 61J-3124 s I�3 <br /> CONTRACTOR ADDRESS CONTR.LICEMSE� <br /> FAtiTD.'ATF.RHF.ATF.RCOMPANY 126U1132NDAVF.NF. F.4STN'1VH946KC <br /> KIIZKLAND.WA 9503�', U1�03;2U08 i <br /> (4:5)814-3124 <br /> PROPOSED USE OF BUILDING gulldlnp � Fl�ch�nlca Addition N T SOURCE <br /> PERMIT Cvm6inattan Flumbinp W�� Alt�ration EI�cMe <br /> TYPE D�molition flpn NPE N�w �a <br /> � R� tlrlMainl er <br /> CONTRACT PRICE OF WORK 5449.00 t:I7Y OF�Y[R[TT LOCAL SALEs TfJ( CODEIS 3105 <br /> WORK DESCRIPTION xemo��e/itepince Gas D'a[er Heamr <br /> PLUMBING MEGHANIGAL <br /> N OF FI I M OF F T R ITEM <br /> __ WATER CLOSET ___ A1C•AfNANDLINO UNITS <br /> __ BATHTUB _____ FORCED AIR SYSTEMS <br /> ______ LAVATORY(WASH BASINy _ NEAT PUhIP <br /> SHOriER __ UNIi HEATERS <br /> KITCHEN SINK 3 DISPOSAL _�__ CLOTHES DRYER <br /> r DISMWASHER _ RANGE HOOD <br /> LAUNDRY TRAY �_ WATER HEATER <br /> CLOTHES WASHER �__ MFTAI FIREPUICEISTOVE <br /> � URINAL ___ FIREPLACE INSERT <br /> DRINKING FOUNTAIN �__�_ OAS FIREPLACE <br /> FLOOR ORAIN __ GAS RANGE <br /> BACKFLOW PREYENTER _r Oes PIPINa <br /> ` SINK (SERVICElBAR/MOPIETC,) _—_ EXHAUST FAN <br /> �^_ <br /> --`- OTHER �_� --- OTMER----_--�-------- <br /> 1 HEREBY CERTIFV 7HAT I NAVF.READ AND E7V+MtNED THIS API�GATION Mo KNOW THE SAME TO BE T(tUE ANO COwtEc7.All <br /> PROVISIONS OF LAWS AND ORO�NANCES GOVERNING THIS 7YPE OF WORK WILL DE COMPUEO WINT WHETHER SPEGFIEO MEREI <br /> OR NOi.THE GRAMTI`1G OF A PERMIT DOES NOT PRESUME TO GIVE AUTH�)RITY TO VIOLATE OR CANCEL 7HE PROVISION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEFiFORMANCE Of CONSTRUC710N.T}tA71 AMAUTNORIZED <br /> BY TME OWNER Of THIS PRQPERTY TQ PERFORM THE WORK FOR WHICH APPLICATIQN IS MAOE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS UW 18.27 RCW AND 296.20D WAC. <br /> Siyn�ture af OwnedContractorlAuthorized AyeN ,�-: ' . .•' Dete , „ � <br /> ,,,- - .��" :-c:- c c(./.,. 0ll�4 ..OU <br /> m.m <br />