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fram: 11i1H�2010 18:02 NO51 P.003/004 <br />, <br />; - PERMIT APPLICATION <br />��i�CITY OF EVERETT PERMIT SERYICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX <br />:��, i���, ri . i: vn�i-rT. wn va�ox <br />QE$5�.1-- - <br />OWNER <br />ni:vtiu.�.Ni.tii,n<� iisr-FNv <br />TENANTNAME <br />CONTRACTOR <br />I�AtiI NAIPR IIfAl1Rl'��MPAN}. <br />PKONE 425-636-7054 <br />PROPOSED USE OF <br />Residential <br />4RCEL TAX I.D.N <br />oo�a?qn000��un <br />ADDRESS <br />to� innri <br />r��risrii.tin �,KznK <br />CONTACT NAME <br />Carol Randall <br />ADDRESS <br />I?601 13:NI1AVF: Nli <br />RIItKLANU, WA 98113d <br />WORK DEBCRIPTION <br />Hcmovaltcplacr I-lectric U':uri Ilr:urr <br />WATER CLOSET <br />BATH7U8 <br />LAVATORY (WASH BASIN) <br />SHOWER <br />NITCHEN SINK 6 DISPOSAI <br />DISNWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFIOW PREVENTEH <br />SINK (9ERVICE/BAR/MOP/ETC.) <br />OTMER------------- .- <br />Plumbinp I WORK <br />Siqn TYPE <br />OF <br />514370 <br />_i9 - <br />PHONE <br />�,i,z�z.ix��4o�> <br />125-636-7054 <br />CONTR.LICENSEA <br />F 4 ti I l4' N' I I'+�1 S(iC <br />�II!0.1^U�� <br />TA% CODEIS <br />______ AIC-A/HANDLIN6 UNITS <br />�_____ FORCED AIR SYSTEMS <br />______ HEAT PUMP <br />______ UNIT HEATERS <br />_._____ CLpTHE3 DRYER <br />____ __ RANGE HOOD <br />____�__ WATER HEATER <br />____ METAI FlREPLACE/STOVE <br />____ FIREPLACE INSERT <br />___ OA8 FIREPLACE <br />____ OAS RAN6E <br />_�_ 6AS PIPINO <br />__.__. EXHAUST FAN <br />�_____ OTHER_______ <br />MERFAV CERTIFV TVIAT I HAVF READ ANC EXAMINED THIS APLICATION AND KNOW THE SAMF TO BE TRUE AND CORRfCT ALL <br />'ROVISWNS OG LAWS AND OHDIN�NCFS GOVf.RNiNG THIS rVPF OF WORK WILL BE COMPUEU WIMi W'HE�HER SPECIFIED HERHI <br />)R NOT. TME GRANTINIi UF A PERMII DOES NOT PRESUME ?U (iNE AU iHORITr TO VIOLATE OR CANCEI THE PROVISION OF ANy <br />)THER SiATE OR LOCAI LAW R6GUI.A*ING CONSTRUCTION OR THE PERFORMANCG OF CONSTRUCTION. TNAT IAMAUTMORIZED <br />IY THE OWNER O!- THIS PROPEHTY TO PE W°ORM THE WURK F WMICH APPUCAiION IS AMDE AND 1 COMPLY WITM THE STATE <br />:ON7RACTOR51 AW 1B 21 H(;W qND 296.?OC WAC. /� /_-, y�, �) <br />ol OwnerlConlnctor;Authorl:ed Agent <br />. � C� D�te �I'IR�2010 <br />u� w� <br />