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Sent By: HP LaserJet 3100; 4250249516; Apr•21-06 11:35AA1; <br />; -.. �RMIT APPL�CATIV�V <br />�wi�� CITY OF EVERETT PERMIT SERVICES <br />3200 GEDAR STREET, EVERETT, WA 98201, 425-257-8850 <br />"•• `� ^""^�JJ PARCEL TAX I.I <br />a51�1p1.VMPIC'HLVUk2,L'VL•RHTT,W.1 9820) 006706Q020)200 <br />LEGAL LpT NO. 9�,OCK — <br />E <br />OWNER ADDRESS i <br />IIAIGIIT,GiWfIAM b1U WASHIN(iTONAVF. <br />• �7UKILTEO, R'A 9R275 <br />CONTRACTOR <br />F.ns•r �vnrr•.k HF.n•rF.tt cc>��rnn�v <br />� P��MF.I.� HILI. <br />ADDRESS �� <br />12601 I32ND AVL Ni <br />�azs�s�a-�iaa KI}UiLAND,14'A 9So31 <br />PROPpSED USE OF BUILDING B���d�^a ��+ <br />NERMIr combin.11on • c�� <br />TYPE INmdilion �.� <br />CON7RACT PRICE �F WORK $3,In,00 <br />WORK DESCRIPTION RcmuodRcplucc F.Icctric \�alcr Hcaicr ' <br />� <br />BATMTUB <br />IAVASORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISPOSAL <br />DISMWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DR�NKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOP/E7C.) <br />PTNER_ <br />TYPE <br />PHONE <br />Page 2/2 <br />o�z i o�; <br />(A2i)1S'i ;?-09p <br />425 814-i134 zll.i <br />CONTR.LICENSI <br />CAS't'N'\VH!748BC' <br />o t m:,�2oos <br />NNntion <br />N�yv <br />OF EVERETT IOCA� SALES <br />� <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT MEATERS <br />GLOTHES pRYER <br />RANGE MOOD <br />WAT�R HEqTER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANt3E <br />GAS PIPIkG <br />BXHAUST FAN <br />oTNER____ <br />31 <br />---- � <br />MERE�Y CERTIfV Tf�qT I MAVE READ AND E%AMINED TIiIS APUCATION AF-0 KNOW THE SAME TO BE TR[lE AND CORfiECT. ALL <br />ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WpNK WILL BE COMPliEO WIHT WHETNER SPEGF�ED HERE <br />iR NOT. TM[ GRAN7ING OF A P[RMIT DOES NOT PRESUME TO GIVE AUTH �RITY TO VIOLA7E OR CANCEI TME PROVISION OF ANY <br />iTMER STATF OR LOCAI LAW REGUTATING CONSTRUCTION OR TME CERL�ORMANCE OF CONS7RUC710N. 7MAT 1 AMAUTNOR12ED <br />r rHE OWNER OF THIS PROPERTY TO pERFORM 7HE WORK FOR WNICh� A�PLICATION IS MAOE ANp I COMPLV WITH TME STArE <br />ON7fUCTORS LAW 18.27 RCW AND 298200Y.'AC. <br />of OwnedCcntraclorlAulhorized Ageni ., p��e <br />.• _- ' - •••> � <- �' U4/21/200(, <br />w rai <br />