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Sent By: HP LaserJet 3100; 4258249516; Apr-12.08 8:26AL1; Page 6/6 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 0.11206 <br /> SITE ADDRESS PARCEL TX( I.D.# PERMIT# <br /> r tin 111.SF., EVERETT,WA 98203 0079410000.000 AIC16C� a <br /> LEGALLOT NO. BLOCK TRACT <br /> DESS <br /> OWNER ADDRESS PHONE <br /> SI'nLL1'.17nt I t,0 r1. sl (.12105.1-21149 <br /> EVBRI1'11'. %VA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> FAST WATER BEATER COMPANY 12601 132ND AVE NE FASTWIA11948AC <br /> _p"4_(1LE (425)83124 KIRKLAND,WA 98034 01/03/2008 <br /> �14- <br /> PROPOSED USE OF BUILDING Building �Mechonlca WORK dlllon HAT SOURCE <br /> PGRMIT <br /> Combination Pmmelnp Alloratlon Elacinc <br /> TYPE Damollllan Sign TYPE NOW a• <br /> Rs elrlMalnl they <br /> CONTRACT PRICE OF WORK $449.00 IcITY OF EVERETT LOCAL SALES TAX COUEIS 3105 <br /> WORK DESCRIPTION I(C1II0V"ePt3ce Das Water healer <br /> PLUMBING 1SLCHANI AL <br /> TYPE OF FIXTURE OR ITEM TYPE OF FIXTURL UR ITEM <br /> ------- WATER CLOSET AIC•A/HANDLINU UNITS <br /> BATHTUB FORCLU AIR SYSTEMS <br /> ------- LAVATORY (WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK A DISPOSAL CLOT)1ES DRYER <br /> ____ DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY I _ WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> ^_ URINAL ^_ FIREPLACE INSERT <br /> DRINKING FOUNTAIN GAS FIREPLACE <br /> FLOOR DRAIN CAS RANGE <br /> ------- BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICEJBAR/MOP/ETC.) EXHAUST FAN <br /> -- <br /> OTHER---- ----- -- OTHER- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOR 4 WILL BE COMPLIED WIRT WHETHER SPECIFIED HERE If, <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT IAM AUTHORIZED <br /> SY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS I AW 1 e 27 RCW AND 296.200 WAC. <br /> Signature of Owner/Contractor/Authorizod Agon ��'�../.,.• Brat• U4/1217006 <br /> m.m <br />