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Sent By: HP LaserJet 3100, 42582495'6; 6�ay-3-06 8:02AId; Paye 3/3 <br /> �- P�RIVIiT APpLICATION <br /> ��i?� CITY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVLRETl, WA 98201 , 425-257-8810 <br /> o;o3n( <br />, SlTE ADDRESS PARCEL TE�X I.D.# PERMIT# <br /> 5630 1�7 DR �V#P101, F.VGRIiI'T, WA 98203 OfIR47701410100 �p�65 ��`/ <br /> LE:GAL L07 NO. 6�.'1CK I7RACT o <br /> D E. <br /> GWNER ADDRES5 PHONE <br /> \Vf:S'I', MARY 5G30 I4 UR N'NP101 <br /> �� L:VLREI'I'. WA 98203 (4?5)J49-21R? <br /> TElrANT NAME CONTACT NAME PHONE <br /> YAML'•LA H[LI. 425 614-J 124 sl±3 <br /> CONTRACTOR ADDRESS CpNTR.LICENSE# <br /> PAST WA7 GR IIEATEK COMPANY 12601 132ND AVC NL• FASTlVWH948DL' <br /> (425)814-3174 hIRKLANll, \VA 960:4 UI/U3/2U0S <br /> PROPOSED USE OF SUILDING euiming Mochanlcal WORK Addit(on HEAT SOIIRCE <br /> P�RMIT Cambin+�llon PIumDInA Allerailon �Electrtc <br /> TYPE Oumolilion Sign TYPE Now as <br /> r r Rs ielrlMaint Ihur <br /> CONTRACT PRICE OF WORK $449.OU 'CITY OF EVERETT LOCAL SALEg TAX CODEIS 3105 <br /> WORK pESCRIPTION Remove.!Replacc G�s 14a�cr Henter <br /> PLU�B�NG �,CHANICAL <br /> NO. TYPE OF FIXTU OR ITEM NO. TYP OF FIXTURE OR ITEM <br /> ______ WATkR CLOSE7 _______ IVC•A/HANDLING LJNITS <br /> ______ 6A7HTUB _,__�_ FORCED AIR SYSTEMS <br /> _____ LAVATORY (WASH BASIN) ___�_ HEAT PUMP <br /> _ __� SHOWER �,__ UNIT HEATERS <br /> _____ KITCHEN SINK S DISPOSAL ___�__ CLOTHES �RYER <br /> ___�_ DISHWASHER __ _ RANGE HOOD <br /> —__� IAUNDRY TRAY __T,1__ WATER HEATER <br /> _�__ CLOTHES WASHER ___ ME7AL FIRFPLACEISTOVE <br /> _ ___ Uf21NAL _______ FIREPLACE INSERT <br /> ____ DRIkKING FOUNTAIN _�_ GAS FIREPLACE <br /> .J_ FLOOR DRAIN ,T____ GAS RANGE <br /> _�__ BACKFI.OW P(2EVENT�R _� GAS PIPING <br /> ___� SiNK (SERVICEIBARlMOPfE7C.) _�_ EXHAl1ST FAN <br /> _,__ OTHER_� OTHER_ <br /> 1 HEP,E6Y CERTIFY THAT I HAVE READ AND EINMINE�THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORR[C7.ALL ' <br /> PROVISIONS Of LAN'S AND ORDWANCES GOVGRNING THIS TYPE OF WORK WILL BE COMPLIE�WIHT WHETHER SPECIFIED HEREI <br /> pR NOL THE Gi3ANiINc oF q P�RMIT DOES NOT PRESU�dG TO GNE AUT�10RItt 70 VIOLATE OR CANCEL THE PROVISION OF ANv <br /> OTNER STAT[OR LOCAI. U1W E 9GULATING CONSTRUCTION pit THC-V�F:FORMANCE OF CONSTRUC710N.THATI AMAUTHORI7FD <br /> 9Y THE OWNER OF TMIS PROPL-RTY TO PERFORM TNE WORK FOR WH�C�i APPLICAIION IS MAOE AND I COMPLY WITH TNE S7A7E <br /> CO.'JTRACTORS LAW 1627 RCW nND 298.200 WAC. <br /> Signaturo of OwnodConttactarlAuthorized Apani ��_- , �L.�,.-r�..� _ ba�° 05/p�!2006 <br /> ui oni <br />