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,.- - F �RMIT APPLICATI�N <br />����CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE <br />I r I"� tiT ti11'. I:\'liRG1'T. R'A 9N20.i <br />OWNER <br />i ir�, , �ic:� <br />IloUs� <br />PARCEL TAX I.I <br />0079240000300�, <br />ADDRESS <br />v.�; z sr <br />'RIL1Lc�.\1'A `ls2?5 <br />ICONTACT NAME <br />PA�1t:LA HILL <br />CONTRACTOR IADDRESS <br />P:\ST N'nTLk IIIiATLR COMPANI' I�601 132NU AVIi Nf�. <br />�4:i�NIJ-}124 <br />PROPOSED USE OF BU <br />KIItKLAND. N'A Y803d <br />CONTRACT PRICE OF WORK SJJv.uU <br />WORK DESCRIPTION <br />Itcmucc Rcplacc (i:�s N';ilcr Ilca�cr <br />LAVATORY (YVASN BASIN) <br />SHOWER <br />KITCHEN SINK 6 OISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTMES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENYER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER��----� --- <br />Plumbinp <br />Slpn <br />ry �r�: <br />M OyOz -OqS <br />PHONE <br />(4?5�348-3G03 <br />425 ril4•3124 z133 <br />CONTR.LICENSE# <br />PA51'1VHC052DP <br />02iI6i20U5 <br />ul.r.uon <br />N�w <br />IOCAL <br />_______ A/C•A/HANDIIN� UNITS <br />�_____ FORCEO AIR SYSTEMS <br />___�.._ HEAT PUMP <br />_____ UNIT HEATERS <br />_______ CLOTHES DRYER <br />____ _ RANGE HOOD <br />___�__ WATER HEATER <br />____ METAL FIREPLACE/STOVE <br />—�__ FIREPLACE INSERT <br />_�_ OAS FIREPLACE <br />____ GAS RAN6E <br />___ C3AS PIPIN� <br />___ EXHAUST FAN <br />__ _ _ OTHER <br />souRce <br />3105 <br />------- � --------------------------- i ------ � <br />I HEREBY CERTIFv THAT I MAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HERE <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO �IVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />DTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHOR12E0 <br />BY THE OWNER OF TNIS PROPERTY TO PERFORM THE WORK fOR WHICH APPLICATION IS MAOE AND 1 COMPIY WITM TME STATE <br />CON7qpCiORS �AW iB YI RCW AND 29fi,200 WAC. <br />nalure of OwnedContrectorlAuthorized Apem r,. -• � " Dete <br />i / ��=/� 01/28/2004 <br />ui ��i <br />