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Sent By: HP LaserJet 3100; 4258249516; Jun-29-06 12:33P1,1; Paye 2/2 <br /> �-�� PERMIT APPLICATiON <br /> ���� CITY OF EVER�TT PERMIT SERVICES <br /> .._ 3200 CEDAR STREET, EVERETT, �/UA 98201, 425-257-8810 <br /> nc�eor, <br /> SITE ADDRESS PARCHL TA;; I.D,# PERMI7# <br /> 5g026 W UR W, CVLRF,TT, WA 9S203 00847700900300 �n� �� _ �' <br /> �' �'l <br /> LEGAL LOT NO. HI.00K ITRACT <br /> DE <br /> OWNER ADDRE35 PHONE <br /> f:ALSTNLK,;�1iCHAELINDA Sft02B 14 DR W <br /> • FVLKr'1'I', VVA 98203 (az�)407-0697 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMF.LAHILL 425 314-;12J .�133 <br /> CONTRACTOR ADDRESS CONTR.LICEkSE# <br /> FAST W'ATF.R HEA'fCR COMPANY 12GOi 132ND AVCNE FASTR'\VI194SRC <br /> (425)9,1•4-3124 KIRKI.AND, WA "RU34 U1/03`2008 <br /> ^ROPOSHCi USE OF BUILDING BUIIdinO Mecnanloa A�tdition <br /> PERMIT Comhlnafion P um6lnp WORK .qltera�on H T SOURCE <br /> Eleclric <br /> TYPE Domolition S.gn NPE New as <br /> $ ' Re airlMaint Iher <br /> CONTRACT PRICE OF WORK 5449.00 C:IIY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Removc/Repince Gas Water Hcater <br /> pLUMBING �NECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM !VO. TYPE OF FIXTURE OR ITEM <br /> ______ WATER CLOSET q/C-A/HANDLING UNITS <br /> _ _____ BATHTUB T FORCEO AIR SYSTEMS <br /> _______ LAVATORY (WASH BASIN) � HEAT PUMP <br /> _____ SHOWER �� _ UNIT HEATERS <br /> _______ KITCFIEN SINK & DISPOSA� � CLOTHES DRYER <br /> ______ DISHWASHER � RANGE HOOo <br /> ______ LAUNDRY TRAY � l WATER HEATER <br /> __^__ CLOTHES WASHER METAL FIREPLACE/STOVE <br /> T�_ URINAL FIREPLACE INSERT <br /> __^__ DRINKING FOUNiA1N pAS FIREPLACE <br /> _,_._ Fl.O�R ORAiN , GAS RANGE <br /> _____ BACKFLOW PREVENTGR �T GAS PIPINO <br /> _�._ SINK (SERVICE/BAR/MOP/ETC.) ` EXHAUST FAN <br /> � ---- <br /> ----- 07HER__ —__--_ OTHER----__.—__------------- <br /> t HEREBY CERTIFY TIi+1T I HAYE READ ANO E7CAMINED THIS APLICATION A�.�KNOW TnE 5A61E TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AN[]ORDINANCES GOVERNING THIS lYPE OF WOFK WILL BE COMPLIED WIHT WHETHER SPECIFIEO MEREI <br /> OR NOT.7l1E aRANTIN3 OF q PERMIT DOES NOT PFESUME TO GIVE AU7H7RITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br /> I OTHER STATG OR LOCAL LAW REGULATING CONSTRUCTION OR TH6 PERf�ORMANCE OF CONSTRUCTION.T}{AT 1 AM AUTHORIZF❑ <br /> oY TH[OWN[R OF THIS PROPERTY TO PERFOR0.17HE WORK FpR WHICF�APpLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRl.CTORu!.AW 1B.27 RCW AND 296.200 WAC. <br /> SignaturQ of Orrnur/ContraatorlAulhoriznd Agoni _ potQ <br /> – _.. _ ..-ti -� �c Y Ufi/292006 <br /> ui a.xi <br />