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Sent By: HP LaserJet 3100; <br />; <br />._ <br />425P249515; Apr-12-O6 B:25A1.1; Page 2 <br />PEf�i�IIT APPLICATI�N � <br />CITY OF EVERETT PERIINIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />oaizoa <br />PERMIT# T <br />IM.�c�o�-a� <br />983120AVHSE•,[VLRE'I'I',WA 9820b' <br />:�PL7:L�;3 <br />COBURN, DSk3F31L• <br />TENANT <br />�RCEL TAiC I.D.# <br />OOSi��0000.:4U0 <br />ADDRE�S <br />9s3 i zo nv� se <br />LVERETT, �1'A 9S2CR <br />CONTACT NAME <br />PAb1IiLA HiLL <br />CONTRACTOR ADDRESS <br />f:q$TWA"fEk1IFATrKC�1MPANY 12G01132NnAVGNf <br />(425)614-3124 �+11t1iLAND, N'A 9R031 <br />PROPOS6D USE OF BUILaING Bulldinp � tA�chanita WOR� <br />PERMIT Ccmhlnallon N��^����0 TypE <br />7"(pE D�molition :ilpn <br />TRACT PRICE <br />5449.00 <br />WORK DESCRIPTION Remove.�Rcplace Gas N'ater Flcater <br />LAVATORY ('NASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 UISPOSAL <br />DISHWASHER <br />IAUNDRY TRAY <br />CLOTHE3 WASHER <br />URINAi <br />DRINKINu FOUNTAIN <br />PLOOR DRA�N <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAWMOPlETC,) <br />OTH ER__�_�_� <br />C1LCI:1� <br />(425)338-1688 <br />PHONE <br />425 814-3i24x1:�1 <br />CONTR.LICENSE# <br />t'ASTWWH9481�C <br />O1l03120U8 <br />SOURCE <br />IOCAL SALES TAX CODEIS 3105 <br />AIC-A/HANOLING UNITS <br />FORCEU AIR SY�TEMS <br />___�_ HEAT PUMP <br />_��_ UNIT HEATERS <br />_____ CLOTHES DRYER <br />___ _ RANGE HOOD <br />� WATER HFJ�TER <br />METAL FIREPlACE1STQVE <br />� F{REPLACE INSERT <br />� OAS FIREPLACE <br />^� GAS FtANGE <br />T 6A5 PIPING <br />T EXHAUSTFAN <br />��_ <br />_ OTHER----�----�------------- <br />HERFeY CERTIFY TFV�T I NAVF READ �ND EXAMIN�� THlS APLICATION PNO KNOW THE SAME TO EE TRUE AND CORRECT. ALL <br />�ROVISIONS OF LRWS AND ORDINANCES GOVERNING 7HIS TYPE OF WCRK WIL� BE COMPLIEO WIHT WMETHER SPECIFIE� NERE <br />)R NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV� l�U7�iORITY 70 VIOLATE OR CANCEL THE PRUVISION OF ANY <br />>TNER 57ATE OR �IX:nl v�W RECULnTING CONSTRUCTION OR THE PEF;FORPAANC[ OF CONSTRUCTION. THAi 1 nM AUTHORiZEO <br />IY TME OWNEA OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS �.1AOE AND 1 COMPLY WITM THE STATE <br />•nu7RACTORS LAW 18.27 RCW AND 29fi.200 WAC. <br />gnaturo of OwnorlContractorlAuthorizad Ayeni _,: .,Y ,;,'�. f- p�1e 04l12n_q06 <br />ui ..ai <br />