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Sent By: HP LaserJet 3100; <br />SITE ADDR6SS <br />4258249516� Aug-8�06 1:20PR1; <br />PcRMIT APPL�CATIUN <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />PARCEL TAX I.D.# <br />171'_ MUI:II_'I'EO BLVll, cVLRLTT, WA 98203 ( 005494003G�401 <br />�EGAL LOT NO, BLOCK <br />DE _ _ <br />OWNER ADDRESS <br />17i2 D11!KII_TEO IILVD <br />t�4ACH, LARRY <br />• F.VF.RF.T'f. WA 4ti2(13 <br />�AMEL.4 HILL <br />7RACT <br />CONTRACTOR ADDRESS <br />P.qST �VATER HEA'I'F.K CUAIP.4TTY 12C01 132�D AVE NL <br />(425)RI-0•3124 h�kKI.AND, NA 95031 <br />PROPOSED USE OF BUILDING suua��o IA�chanita <br />PERMIT ComGlnallon �'lumbine wORK <br />TYPE Damolilion :i18n NPE <br />OF WORK 5449.U0 <br />WORK DE5CRIPTION R�,nova/Keplace Gas Watzr Ilcatcr <br />WATER CLOSET <br />ESATHTU B <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISPOSAL <br />DISHWASNER <br />L4L1NpRY TRAY <br />CLo7HE9 WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTER <br />SINK (SERVICEIBAR/MOPlETC.) <br />OTHER___ <br />OF <br />Page 3/5 <br />� 9 �G <br />oSnRor; <br />PERMIT# <br />� � <br />�, � �, �' C . / <br />PHONE <br />(,t25;3z7-9aa; <br />PHONE <br />42i 914-31?4 xl�l <br />CONTR.LICENSE# <br />FASTl1'\VH944I3C <br />01l032UOti <br />T <br />A1C•AlHAN�LING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT FIFATERS <br />CI.OTHES DHYER <br />RANGE NOOD <br />WATER HEATER <br />METAL FIREPLACEfSTOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER-------------- <br />3�05 <br />HEREBY CERTIFY 7H4T I HO.VE RUD AND EXM11NE0 THIS APLICAl10N AVD KNOW THE SAI.IE TO BE TRUE AN� CORRECT. ALL <br />�RpvISI0N5 OF lAWS AND ORDIMANCES GOVERNING TNIS TYP� OF WORK WILL �E COMPLIeD WIHT WHETHER SPECIFIF.D HERE <br />JR NOT. TH[ GRANTING OF A PERMIT DOES �OT PRESUI.IE TO GNE AUTI IORIIY Tn VIpLA7E OR CANCEL THE PROVISION OF FNY <br />)THER STATC• OR LOCAL LAW REGULATING CONSTRUCTIqN OR THE PEFrORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />IY THE OWN@R OF THIS PROPER7Y TO PERFDRM TNE WURK FOR WHIC�IAPPLICAT70N IS MAOE ANO I COMPLY WITM THE STF7E <br />:OYTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signaturo of OwnerlContrecmdAutliorized Agonl . . ' _, ,. �,.� ba�e pg;p�n�p6 <br />ui �ai <br />