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Sent �y: HP LaserJet 3100; 4258249516� Nov-3-OS �i :t0A61; Page 2/2 <br /> P'tRMIT APPLICATION <br /> �C� CITY OF EVERETT PERMIT SERVICES (� -63-os <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> i,oaa� <br /> SITE ADDRE93 PARCEL TN: I.D.i� PERMIT# <br /> GQD9SEAHIIRSTAVF.,EVF.RFTT,WA 9820J U043680000'105 n^�cJ.� � � U��( <br /> I �� \ <br /> LEGAL LOT O. BLOCK TRACT <br /> OWNER ADDRE65 PMONE <br /> �aov scnft��usr nvL ,n <br /> DUVERNEY.DAVID �a?5). R-3�i i <br /> • EVEIL6fI, wA 982U3 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAML•'1.AHlLL 4z5 814•il24x133 <br /> CONTRACTOR ADDRESS CONTR.LICENS£N <br /> �AST\VATER HEATFR COMPANY 12601 132T:�A\'F.NF. <br /> FAST�'IiCOS:nF <br /> �q25)g�4.3124 KIRKLAND, N'A 9R03A 02.16i2007 <br /> PROPOSED USE OF BUILDINO �wim�o Maen�mu �aaitton M AT SouRCE <br /> PEkMIT Combinslion ►I�mbinp W�RK ,Ut�nuon I�c1Ae <br /> TYP� D�moliUan 3��n T'PE n�w » <br /> i R� YrlMsim �er <br /> CONTRACT PRlti OF WORK S4a9,00 CiTV OF EVERETT LOCAL SALlS TAx CODEIS J105 <br /> WORK Dt3CRIPTIDN <br /> Removc�Rcplace Ge5 N�'aicr Hcater <br /> �LU� r�ECMAN ICAL <br /> OF TYPE OF FI U M <br /> _�_ WATER CLOSET ,______ AIC-NHANDLINO UNITS <br /> ___ BATHTU4 ,_�__ PORCED AIR 9YSTEMS <br /> ____ LAVATORY(WASN OASIN) ,___ HEAT PUMP <br /> __ SHOWER ____ UNIT MEATE45 <br /> ___ KITCHEN SINK 6 DISP08AL ____ CL07HES ORYER <br /> _�_ DIbHWASMER ._ _ RANGEHOOD <br /> �� LAUNpRYTRAY ___�__ WATERMEATER <br /> �_ CLOTHES WASHER __„` METAL FIREPUICElSTOVE <br /> ___ URINAL __��_ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN ____ GAS FIREPLACE <br /> _, FLOOR DRAIN ___ GAS RAN6E <br /> __.,_ BACKFLOW PREVENT�R ,___...._ GAS PIPING <br /> ___ SINK (SERVICFJBARfMOPlETCJ ____ EXHAUST FAN <br /> �� OTHER_�__ �_____ _______ OTNER------------------- <br /> 1 HEREUY CERTIFY ThWT I HAVE tiFAD AND EXAMINEO THIS APLICATION ANO KNOW THE SAME 70 BE iRUE AND CORRECT,�LL <br /> PROVI5bN5 OG tAWS ANO ORDiN�NCES GpVERNiNG TNIS NPE OF WOR•:WILL BE COMPLIED WIHT WMETMER SPeCiFtEO HEitEI <br /> OR NOT.7HE GRANTING OF A PERMIT D055 NOT PRESUME TO�IV[AUTN<�RIT1'TO VIOLATE OR C4NCEL TME PROVISION OF A�Y <br /> OTHER STATE OF IOCAI LAW REGUUTING CONStRVCTiON OR TNE PERFORMANCE OF COtiSTRUCTION.iNAT I AM AUTNqRIZED <br /> BY 7t1E OWNLR OF THIS PROPERTY TO PERFORM THE WOFtK FOR WMICM iPPUCA770N IS 1MDE hN0 t COMP�V W�TM TME STATE <br /> C0Y7RnCTORSLAW 1B.z7 RCW AND29B200 WAC. <br /> Slgn�turoofOwnedControclorlAuthori:�dAqeni �r_, . . - ,�.;.'r y � DO�� I1%Q7:]065 <br /> Ui�R� <br />