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� Sent By: HP LaserJet 3100; 4258249516; Jun-fi-06 A:11Ald; Paqe 3/3 � <br /> PEr�MIT APPLICATIOn! <br /> CITY OF EVEF2ETT PERfVIIT SERVICES <br /> ,�`� 3200 CEDAR STREET, E:�ERETT, �NA 98201 , �25-257-8810 <br /> OCOC,OG <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> io��z I? AVF. �V LVLRETT, w,a �szoa nn�r_wuuo3� oo i - �LI <br /> I.EGAL LOT N�. BLdCK ITRACT <br /> DES <br /> OWNEi2 ADDRESS PHOtJE <br /> I Oti22 13 AVF.N �- z:7_;779 <br /> nun'r, itnnc . EVGP.LTT.�vn 9S20a (�r,� <br /> TENANTNAME CONTACTNAME PH7NE <br /> YAhiFLA H1LL •L'� 81d•3124 x133 <br /> CONTRAC'fOR AODRESS CONTR.LICENSE# <br /> 1"�1ST R'ATTSR HEA'fL•R CUY1PANl' 12501 IS2NI)AVE NF I'AJTWNH9d8L�C <br /> KIkKLAND, 1VA 98034 OV03/2o08 <br /> Q�__�az5jsla•3i2a <br /> PROPOSED USE OF BUILDING aulldinfl M�rchanlca WORK Add�tion HEAT SOURCE <br /> PERMIT Combinallon � Pl�meinp � Almration Electnc <br /> TypE Domolition Sign 7YpE Now 'as <br /> S�r ki r Re alr/Maln[ thef <br /> CON7RACT PRICE OF WpRK $3�19,p(1 CITY oF EVERE'iT LOCAL SALES TAX CODEIS 3105 <br /> WC,R}t DESCRIPTION kemo��!IteplaceF.lcctric WatzrHcater <br /> PLUN�f31NG :A�HA?:;CAL <br /> NO. FYPE OF FIXTURE OR ITEM �70. 7YPE OF IXTURE OR ITEM <br /> WA7EF2 CLOSET ______ AIC•AIHANDLING UNITS <br /> BATNTUB ._____ FORCED AIR SYSTEMS <br /> _ LAVATORY (WASH 8E1SIN) __ _ HEAT PUMP <br /> Sk�UWER ^ � UNIT HEA7ERS <br /> � KITCHEN SINK & DISPOSAL �^___ CLOTFIES DRYER <br /> u DISHWASFiEf2 <br /> ,__ _ RANGE HOOD <br /> LAUNDRYTRO.Y __�__ WATER HEATER <br /> CLOTHE5 WASHER _4___ METAL FIREPLACE�STOVE <br /> URINAL ___T_ FIRE� ACE INSERT <br /> DRINKING FOUNTAIN _��_ OAS F�REPLACE <br /> � FLOOR DRAIN ._�_ GAS F2ANGE <br /> �� pACKFLOW PREVENTER _�,_ GAS PIPING <br /> _� SINK (SERVICEl�ARIMOP/ETC.) ______ EXHAUST FAN <br /> ----- 07HER_ ---- ----- OTHER------------------------ <br /> I HEREOY CERTIFY THq7 I NnVE FZEAD AND L'XAMINEP THIS APLICATION A��KNOW THE SAlde TO BE TRUE AND CORREC7 ALL <br /> PROVISIONS OF LAWS AND ORDIIJNNCES GpVERNING THIS TYPE OP WOFK Wlll B6 COMPLIED WlHT WNETHER SGECIFIED HEREI <br /> OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUIdE 70 GNE AUIH�JRITY TO VIOUi7E OR CANCEL THE PROVISION OF AN1' <br /> OTHER 57l�TE OR LOCAL lAW REGULATING CONSTRUC710N OR THE PER(ORA4ANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO <br /> BY THE OWNER OF THIS PROPF.�2rl'TO PFkFORM THE WORK FOR WHICH APPlIGA710N IS MAOE ANG I COMPLY WI7H THE STA7E <br /> CONTRAC70RS LAW�9.27 RCJJ ANO 208.200 WAC. <br /> Siflnaturo o(ownodCo�troclorlAuthorizod Agent . ,. ;: "{ �, �ate �6�������O6 <br /> u�.vv <br /> ��'IoZ�G��-E�21 <br />. - -- <br />