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Sent By: HP LaserJet 3100; 4258249516; Mar-6-06 »:�9P6+; Fage 2!3 <br /> � <br /> ;-. PEt�MIT APPLICATION <br /> ���� CITY OF EVERETT PERMIT SERviCES <br /> `. 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> U3U6U6 <br /> 31TE ADDRESS PARCEL T/U;I.D.� PERMITIt <br /> �A20 OAKF.S AVF.M2, CVGRL•TT, WA 98201 U0439155002300 ,'�1 ��j 3 - �� <br /> _ r• � <br /> LEGAL LOT N . BLOCK TRACT <br /> OWNER ADDRE3S PHONE <br /> ftlHN51 ON,CA�RON 915 WAi.T.ST (425)259-759'� <br /> • EVERETT,WA 9N2U1 <br /> TENANTNAME CONTACTNAME PHONE <br /> SNAWNWHPI'tiETT(PERh1?TF.NNAN7) ppML•LAti1l.L 425 814412ix13? <br /> CONTRACTOR ADDRESS CONTR.LICENSEN <br /> Fnsl�wATL•R 11RnTF.R CO�iPANY 12hoi I]2ND AVE NF I'ASfN'1�9194RBC <br /> KIRICLAVD,\VA 9803-0 O1/Q32008 <br /> (42$)814•312A � <br /> PROPOSED USE OF BUILDING euuaino M.cn,�i�■ woaK AOditlon H • T SouRCe <br /> PERINIT Cam0lnatbn v.ummnp NNnda+ N��^� <br /> TYPE �aillon i.yn TYPE N�r Gas <br /> Ra �IrIM Inl �ner <br /> CONTRACT PRICC OF WORK §3q9.00 CfTV OF lVQRCTf LOCAL SALE3 TIU(CO�EIS 7106 <br /> WORK OESCRIPTION RemuvdReplate Electric Watcr Heater <br /> FjUM01NG �HA ICAL <br /> oF ruR IrEM T of F T <br /> WATER CL08ET ____ AIC•AIMANDLING UNITS <br /> 6ATMTUB ,_____ FORCED AIR SYSTEMS <br /> LAVATORY (WASM BASIN) .______ HEAT PVMP <br /> SHOWER __�_ UNIT MEATERS <br /> KITCNlN SINK 8 DISPOSAL ___ CL01'NES DRYER <br /> DISHWASHER ._ _ RANGE H000 <br /> LAUNORY TRAY �__�__ WATER NEATER <br /> � CLOTMES WASHER � __ MlTAL FIRBPLACEISTOVE <br /> URINA� ,_____ FIREPLACE INSERT <br /> � DRINKING FOUNTAIN __ 04S FIREPLACE <br /> FLOOR DRA1N GAS RAN6E <br /> OACKFLOW PREVENTER __,_ G46 �IPIN6 <br /> �_____ <br /> &INK (6ERVICE/BAR1h10PlETCJ EXi+4U3T FI�N <br /> ----- OTHiR --- O7 --------'----^------ <br /> t HEREBY CERTIFY TNAT 1 HAVE READ AND EXAMtNE�TN13 APIICATION A�.D KNOW THE SAME TO BE TRUE AND CORRECT,AlL <br /> PROVISIONS OF LA�'!5 AND ORDIMANCES GOVERNING TMIS TYpE OF W�FK WILI BE COMPLIEO WIMT WHETMER SPGCIFIF.O HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TOGNE AUTHORITY TO VIOLA7E OR CANCEI THE PROVISION OF ANY <br /> pTMER STA?E OR LOCAL lAW REGULATING CONSTRUCTION OR TME PERFORIMNGE OF CONSTRUCTION.TMAT IAMAUTNORIZED <br /> 8V THE OWNER OF TNIS PROPERrI'TO PERFORM TFiE WORK�OR WHICH APPLICATION IS MAOE AND I COMPIYWRM THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.20U WAC. <br /> 3lpnatun of Own�NCantraetor/Aulheris�d Ag�ni ` .. � ` D�ta <br /> ^ �y. � �. y � 03l06i2006 <br /> _— u�•ei <br />