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Sent �y: HP LaserJet 3100; <br />425824951fi; Sep•27��5 6:n9Ald; Paoe 2/3 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />"�"' 3200 CEDAR STREET, EVERETT, �.NA 98201, 425-257-8810 <br />0927U5 <br />SITE ADDRESS � PARCEL TAX I.D.M PERMIT� <br />SlW 74 ST Stt', F:�'fI:L I"L lVA �8.'03 On70tl000009:00 ���� ./'� 1� <br />l <br />LEGAL LOT NO. BLOCK ITRACT <br />OWNER <br />ARP.RI:A fH1 . U4\.D <br />CONTRACTOR <br />FAST ��'��'I FR H�•.47 Cf+ c'n�trnVY <br />N'_s)Rla-?1'. i <br />PHONE —__..-.._—_ <br />PROPOS[D USE OF E3UILDI <br />ADDRESS <br />sw �a sr sw <br />. FVERETT, WA U8203 <br />CONTACTNAME <br />I'AMLI A Hll.f. <br />ADDRESS <br />I?601 132ND A� E NG <br />KIR}:LAKD, WA 980J4 <br />PHICE OF WORK f?49.00 <br />tanein.non <br />DESCRIPTION ft;inuvr.Keplace Electric Wnier Nenter <br />WATCR C:QSET <br />ESqfNTUtl <br />LAVGI OIIY (.YASM BASIN) <br />SNUW[R <br />KITCMFi, SINK 3 UI9POSAl. <br />DISHWtiShER <br />LAUN�VfY Ti2NV <br />CLOTf;ES Wl�SHER <br />URI�"•t. <br />[Rivun� FOUNTAIN <br />rt �c� :.�.am <br />oaCi:r�ow �HEVENTER <br />SINK 'S -FViCFJBnRfMOP/fiTCJ <br />uTHC' --. ..-- <br />PHONE <br />(206);09-4?67 <br />� � PHONE <br />d25 M14-i124 xIJJ <br />� CONTR.LICENSI <br />IASTu"fC052DF <br />02'!6/'Om <br />ichmiD WQRK ndainoo H T SOUqC <br />�moln AIIHatlon I�emc <br />�„ TYPE N.w u <br />R� NrIMNnI tMr <br />iTY OF �NBRETi' LOCAL SALFS 7AX CO�EtS 711 <br />� <br />A/GAlMANDLINO UNIT9 <br />FORCED AIR SYSTEMS <br />MEAT PUMP <br />UNIT HEAT[RS <br />CLOTHES DRYER <br />RANOEHOOD <br />WATER HEATER <br />METAL FIREPLACEI3TOVE <br />FIREPIACE INSERT <br />OAS FIREPLACE <br />GA9 FtANbE <br />GAS PIPING <br />EXMnU5T FAN <br />OTHER...._..------- <br />_.�J---� _-- ' ' � -- �_" I .._�—'- �-� � -- <br />I NERLBv =CRt if �'�� 1 i r•..t � kEAD AND E%AMINED THIS ARIG/1TInN AKJ KNOW TME SAME TO 8E 7RUE ANO CORRECT All <br />PRovIStO�+S oF v,:vs n�+u ���i.:uinr,cES r.ovERi:iNG TNIS TYPE OK WOR< WILL BE COMPUEO WIHT WMETMER SPECIFIED IiEREII <br />OR NOT. Tr�E GHM��TN� �.-.� F �i:Mlt DOES NOT PRESUME TO GNE AUTIIJRITY TO VIO�ATE OR CANCGI rF1E PROVISqN OF ANY <br />OTNFR 57niE ca ,;�c:r.. '.. ' r F�,111 ATING CUNSTRUCTION OR T iE PERf ORIMNGE 0�° CONSTRUCTION. iNAT I AIA AUTHORREO <br />9V r}1E 0'/�'nER C� iui' �. •�FO•• .�t f Y TO PERFORM T1fi VJORI( FOR NMICM APPLICATION IS MADE AND 1 COMPLY WITH TNE STA1'E <br />CONTfUC tURti i nVl +'�.: 7 ki;�.�� �40 798.200'NAG <br />mturc of (1..�,_.� . �rAutho�l=ed ABen� . .., � �. ._.�;:'�., j. <br />D�tY 09�Z7-2005 <br />ui .ai <br />