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�ent By: HP LaserJet 3100; <br />4258249518; Oct-3G-OS 1:27PM; Page 4/a <br />P�RMIT APPLICATION <br />���CITY OF EVERETT PERMIT SERVICES <br />� 3200 CEDAR STREET, EVERETT, �NA 98201, 425-257-8810 <br />io_aos <br />SITE A�DRESS PARCEL TAX I.D.f! PERMIT� <br />I(110'TGM}'LFDR,EVL'RCTT,W� 9K2U1 0059G?UUSUU�UU %l� j /O _ �� <br />OWNER <br />WINSLIIW, ANUY <br />CT_.� <br />FAST WA'I'ER I�ATER COMPANI. <br />AODRE33 <br />1010 TCMPLC DR <br />� rVL•RGT'f,H'A 9B201 <br />� pAMELA HILL <br />ADDRESS <br />12601 132NU AVE NE <br />pHONE (425)Bld-3i24 }:IRRI.AT:D, 14'A 98�34 <br />PROPOSED USE L.' QUILDINl3 auuai�o Mnch�nlo <br />PERf1R1T ComblMHon Pl�mbinp <br />irre o«no��uon s�qn <br />CONTRACT PRICE OF WORK 5449.OU C11Y OF <br />WORK DESCRIPTIDN H�inove/Rcplace Gas N'atcr Htater <br />11VATORY QNASH BA31Nj <br />SHOVYER <br />KI!CMEN SINK 6 OIS�OSAL <br />DISHWASMER <br />LAUNORY TRAY <br />CLOTHE9 WASHER <br />URINAL <br />ORINKINO FOUNTAIN <br />FL�R DRAIN <br />BACKFl.OW PREVENTER <br />SINK (SERVICEIBARlMOPfETC,) <br />pTHlR �._ <br />� <br />PHONE <br />(425)252-Jl21 <br />PHONE <br />•tas sia.3i�axia: <br />FA S7W kCuS? DF <br />Q2� 1620u7 <br />nPE <br />FORCE� AIR SYSTEMS <br />MBAT PUMP <br />UNI7 HEATlRS <br />CL�THiS ORYER <br />RANGEHOOD <br />WATER HEATER <br />METAL FIRlPLAC!lSTOY6 <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RANOE <br />OAS PIPIN6 <br />EXHAUSTfAN <br />OTHER _-------------...._.� <br />MEREBY CERTiFY THAT I NAVF. READ AND EXAMINBD THIS APUCATION AhQ KNOW TNE:�AME TO 9E TRUE AND CORRECT.ALL <br />�ROVISIONS OF �AWS AN� OkDINANCES GOVERNING TNIS TYPE OF WOFKx'ILL BE COMVLIE6 WIHT WMETNER SPECIFIED MERE <br />)R NOT. THE GRANTING OF A PERMI7 DOES NOT CRESUME TO 31VE AUTMORITY TO VIOLATE OR CANCEL TME PROV�SION OF ANY <br />)THER 51'ATE OR LOCAL UW RF.GULAYING CONSTRUCTION pRTME PERFORM4NCE OF CONSTRUCTION. TNpT 1 AM IIUTMORI2ED <br />fY TME OWNER OF THIS PROPERTY TO PERFORM iNE WORK FOR WHIChMPLICATION 19 MAOE AND 1 COMP�Y WITH TNE STAIE <br />:ONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br />ot OwnadControctorfAuthoriioC Apmi ��-::-� �_ �� .y'�_.y - <br />D�ro 10/�0�2005 <br />u� .x� <br />