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r ��m: <br />ioioei�nos os:za ao�s r.00ziooz <br />,-- PERMIT APPLICATION <br />�wi�CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />10050G <br />SITE ADDRESS PARCEL TAX I.D.N PERMIT# <br />�s i� ioi s r sr, evraeTr, wn �azoa oosi�s000novoo (y�p� � G- �j(5 <br />OWNER <br />U� iItAN, SAMUBL <br />CONTRACTOR <br />PAti'f WATI:R IIEATP.R ('OMPANY <br />PHONE (425)RIA-312n <br />PROPOSED USE OF BUIL <br />CONTRqCT <br />WORk DESCRIPTION <br />AODRE83 <br />'.�,i13 IDI 5�1� tili <br />� fVGRFTI�, WA 98:�UY <br />CONTACT NAME <br />_ I'AMI_LA Ii1Ll. <br />ADDRE33 <br />17ti01 I l2VD AVG NG <br />KIRk1.AND, WA 98034 <br />Com6ln�llon <br />�JJ9 00 <br />Removc/Reploa Gus Watrr I leatcr <br />____ WATER CLOSET <br />_____ BATNTUB <br />.._____ LAVATORV �MASH B431N) <br />____ SHUWER <br />______ KITCHEN SINK 6 DISPOSAL <br />_____ DISHWASMER <br />______ LAUNDRY TRAY <br />.____ CLOTHES WASHER <br />_ _ __ URINAL <br />_____ DRINKING FOUNTAIN <br />____ __ FLDOR DRAIN <br />_____ BACKFLOW PREVENTER <br />_____ 91NK (9ERVICEIBAR/MOP/ETC.) <br />__�__ OTHER___ _ ___ <br />Plumbinp <br />� <br />PHONE <br />(A25131G-927R <br />PHONE <br />425 8IA�3124 x133 <br />CONTR.LICENSE# <br />PASTR' W Ii9488 C <br />01/03i20U8 <br />All�hllOn <br />N�w <br />FORCEO AIR SVSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTH83 DRYER <br />RANOBHOOD <br />WATER HEATER <br />METAL FlREPLACE/STOVE <br />FIREPLACE INSERT <br />OAS FIREPLACE <br />GAS RAN6E <br />OAS PIPINa <br />EXNAUBT FAN <br />OTHER_________ _ __ _ <br />3105 <br />— -- I -- '---- - --�- I �-- I — ^ --- --�A------- <br />I HEREBV CCRTIFv TI Inl 1 MAVE READ AND EXAMINED THIS API,ICATIUN AND KNOW TNE SAME TO BE TRUE ANO CORREC7. ALL <br />PRUVISIONS OF LAWS ANO ORDINANCES GOVERNING'H13 TVPE Of WORk WILI BE COMPLIED WINT WHETHER SPECIFIED MEREIP <br />OR NJT. THE ORAN fING UF A P[RMIT DOE5 NOT PRESUME TO aNE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL lAW REGUUTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT IAMAUTHOR12E0 <br />BY THF OWNFR OF THIS PROPEFti Y TO PERFORM THE WORN FOR WHICH APPLICATION I$ MADE AN� 1 COMPLY WITM TNE STATE <br />COHTRA^_TORS LAW � B �7 RCW ANO 798200 WAC. <br />�re of OwnadControctor/Authorlted Apen� ��- �. -,, _�/ -` ._�,..� Deta IQi05/20U6 <br />u� .a, <br />