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Sent By: HP LaserJet 3?00; 4258249516; Oct-19-OS 12:19P�d; Page 2/3 <br /> PEkMIT APPLI�ATIO1� � <br /> �+�� CITY �F EVER�TT FEf2MIT S�RVICES <br /> 3200 CEDAR STREE'T, EV�RETT, INA 98201, 425-257-881� <br /> 1019U5 <br /> SITEADDRESS PARCELTAX I.D.# ///P���...E��� RMIT#�� <br /> 9113 l l PL W,GVF.R6"CT,WA 98204 Of1745�000(12��00 / //hl��� <br /> / / /� <br /> LEGAL LOT NO. BLOCK ~ TRACF <br /> DE �-- <br /> O'JVYJER � AODRESS PHONE <br /> 9113 11 PI.W �q�4)iqg-a961 <br /> AVt,RIf.L,1G.'iHRYN • FVrKLn, WA 982U4 <br /> 1'ENANT NAME CONTACT NAME PHONE <br /> PAy1ELA ITILL 425 814-3124 x137 <br /> CONTRACTOR t�DDRESS CONTR.LICENSE# <br /> FASTWATL•RIiF.ATIiRCObik'ANl' I2601132NDAVENE fASTWHC052UF <br /> KIP.KLANU,\VA 98034 02i1�2U07 <br /> (425)81J-}]?4 <br /> 9ultdinp Mahanlce AdGition H T SOURCE <br /> PROPOSED USE OF BUILDING P�RMir ComDlnallon P'.unlDlOp WORK , N�eratlon )Electdc <br /> TYPE Demolllbn S.qn TYPE New as <br /> ri r Re drlMalnl mer <br /> CONTRACT PRICE OF WORK S349.00 CITY OF EYERETT IOCAL SALES TAX CODEIS 3105 <br /> WDRK ^ESCRIPTION Removel�teplaccElectric\Vaterliemer <br /> UM MECNAL�ICAL <br /> NO. PE DF F TU E O ITE T E OF FIXTU OR ITE <br /> WATER GLOSET _______ A1C•AIHANDLIN(i UNI7S <br /> � 6A7HTU6 ______ FORC:D AIR 3YSTEMS <br /> LAVATORY (WASH BASIN) _�_ HEAT PUMP <br /> SHOWER __�_ :lNIT MEATERS <br /> K17CNEN 51NK 8 DISPOSAL _ C�A1H8S DRYER <br /> DISHWASHER _ _ RiiNGE MOOD <br /> � UUNDRYTRAY vl__ WATERHFI�TER <br /> � CLOTHES WASHER ��__ METAL FIREPIACEIS70VE <br /> � URINAL ,� FIREPLACE IA'SERT <br /> � ORINKIhG FOUNTAIN ��_ CiAS FIREPUICE <br /> FLOOR DR/A�N �__ GAS Rl+N6E <br /> dACi(FLOW I'REVENTER _�_ GA5 PIPING <br /> � 81NK (sEtiVICElBAR1MOPlETC.) ___ EXHAU5T FAN <br /> -----` OTNER— _ OTHER----------• -----•— <br /> —' � � � --- vy - �� —T U AND CORREC7.ALL --- <br /> �K OW THE SAFAE TO BE R E <br /> 1 HEREer CERTIFY THAT I HAVE READ AND EXl+M�NEO THIS APLICATiON A4 N <br /> PROVIFIONS OF LAWS A�:D OFDINANCEF GOVERFING TH:S TYPE OF WC�K YJILI.BE COMPLI[D WiHT WHETNER SPECIFIE�HEREI <br /> OR NO�•THE GRANTING OF A PE�iMIT DOES NOT P�ESUME TO GNE AUT�iORITY TO VIOLATE OR CANCEL THE PROVISI04 OF ANY <br /> OTHER STniE OR�OCAI lAW REGULA7wG CONS7RUCTION OR 7HE PEFFORbWNCE OF CONSTRUCTION.THA�1 AMAUTHGRIZED <br /> 8Y TME OWNER OF 7HI5 PROPERTY TO PERFORM THE WORK FOR WHtCi APPLICATION 19��DE AN01 COMPLY WITH TME STnTE <br /> �ONTRACTORS LAW 18.27 RCW AND 236100 WAC. <br /> Date <br /> 3lpnntura of OwnodContractor/Authorized AgoN �.r,:. �-,- , ���"�_;j 10l19n�U5 <br /> ui.m <br />