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� � ,F :RMIT APPLICAT� �N <br />��i?� CITY OF EVERETT PERMIT SERVICES <br />3'L00 CEUAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-0�57 FAX <br />51TE AD�R[SS <br />2A05 98 ST SE. �VFRGTI', WA 98208 <br />OWNER <br />ORDONA, ALIiGRI <br />CONTRACTOR <br />FA51' R'A"IPJt IIf.nTER C0�IPANY <br />0079�400000000 <br />ADDRB3S <br />2no5 98 S'1' Sr <br />� IiV1i1t1�.�IT, l4A 9R.^.ON <br />� CONTACT NAME <br />Carol R�ndell <br />ADDRESS <br />izroi iszr�>nvsns <br />pti�� A7,5 63f 7054 h�k��AND, WA 9803A <br />PROPOSED USE OF BUILDINO ouimtnp M�c�unie■ WOR� <br />VERMIT Com4lmllan PIumDInO <br />Residential rypg D�mollllan Slpn T�'PE <br />CONTRAGT Pk�CE Of WORK I r CITY OF EVERE <br />WORN DFSCRIPTION <br />Remuvr/RepL�ce Gas R';ner flrater <br />� <br />� <br />BATMTUB <br />LAVATORY (YVASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISPOSAL <br />DISHWASHER <br />LAUNDItY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKiNc FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />siNK (SERVICE/BAR/MOP/ETC.) <br />OTHER.---,•_- -- --- - <br />----- ------.._ ---- --- <br />� <br />� <br />auuyio <br />PERMIT# <br />1 ' I��IJ t "l <br />PHOhE <br />(A',�.5)737-3517 <br />425-636•7054 <br />CONTR.LICENSE# <br />FASTµ'N'H946[3C' <br />01!04201' <br />Additlon M AT 80URCE <br />AIt�qUon Ei�cMc <br />. Nnw �s <br />R� �Ird�lilnt her <br />LOCAL SALES TAX CODEIS 3105 <br />FORCED AIR SYSTEMS <br />MEAT PUMP <br />UNIT fiGATfiRS <br />CLOTHES DRYtft <br />RANGE HOOD <br />WATER NEA7ER <br />METAL FIRFPLACE/STOV[ <br />FIREPLACF INSERT <br />GAS FIREPLACE <br />GAS FNN6E <br />GAS PIPIN[3 <br />EXHAUS7fAN <br />OTH G R_--�'�"-- W _ <br />HEREBV CBRTIFY TMAT I MAVF RF.AD ANO EWIMINCD THIS APLICATION AND KNOW THf. SAME TO �E TRUE nN0 CORRECT. ALl <br />'ROVISIUNS OF LAWS A40 OROINANCE$ GOVERNW3 TIIIS NPF OF WOHK WILL BE COMPI.IFU WIHT WMETHFR SPC-G!'IED MERf <br />IR NU� 'H[ GMNTIhG OF A PF.RMI1 DVES NOT PRCSUME TO GNE AUTHURITV TO VIOLATC OR CANCFL rHF PROVISION OF ANY <br />�THER STATE OR LUCnI Lf�W RF6UlATu�G coNSTFtUCT10N OR TME PERFORMANCE OF CONSTRUCTION. TNA71 AM AUTHORIZE� <br />V THC OWNCR OF THIS PROPF.R�1' 70 PERFORM THE WORK FOR W�uCN APPUCATION IS MADE AND I COMPI,V WIT� T�IE STqTE <br />��UN�Rl�CTORS LAW iP.Y� 0.CW ANU 29G.2�0 WAC. <br />of Owner/ConirectorlAuthorized Apent <br />G' i.w�'%!/Li,�,.�.Gr1�P <br />Date ��,?��?010 <br />U�!'!i <br />