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� ' APPLICAT�N FOR CONSTRUC�N PERMIT <br /> CITY OF EVERETT. BUILDING OIVISION � <br /> 3200CEDARSTREET.EVFRETT,WA08Y01.257-8870 <br /> ❑ DEMOLRION ❑ COMBINATION ❑ BUILdNO ❑ MECHAN�CAL ❑ PLUMBMO ❑ BION <br /> PROJECTADDRESS <br /> 1916 W CASINO RD Evaretl WA 98204 <br /> UM'MA M/4�CCRi55 G�Y tV A171 <br /> �iunner Jun�ren 1916 W Cesino Rd Everalt 98204 125355/161 <br /> �ee�r�r "— weemrcss a*� – n wo't <br /> <Neme> �Addroes� <Citv> <Zio> <Phone> <br /> /.XCMIlC\df�llGM[M WRI.W�I(Sf Gl� N MICE <br /> �Neme� <AdAress> <Cllv> �Zlo> <Phonn� <br /> eerKwuem�w�e�a� uwa.r.orie�e urv t� nqK er.rt�r[ruE� <br /> Fanl'NelerHeateroComp12601132ndAve.N.f Nirktand BB031 42587431Y4 FASTWHC052DF <br /> uec�«..cucorn..:�on uu�.ow�ss un rv s.�vw eu.e�cuaEi <br /> �Name> �Atldrass> �Cily� <2ip> <Phone> <Llc No> <br /> iuuaiw:can•u;�oM uu,�uw�ss an n nxrrt n�rEivnu� <br /> dJame> <ACdress> �Cit > <2ip> �PM1ona� <Llc Nm <br /> <rv�,.u.�i�.�,urn. <br /> 34900 HEATINGSVSTEM: ❑GASQELECTRIC ❑____________ <br /> iv u.��u mw�uw�saun..r r,�nua w�.nveo ecwue�nu.;owwo AroN[wo <br /> Hemove/raplace alecl�ic vialer heater <NAME> <br /> ��HONE> <br /> I MERE9Y CERTIFV TMAT I H�VE READ AND E%�MINED THIB <br /> APPIILATION�NO KNOW TME S�ME TO BE TRUE AND CORRECT.AlL <br /> mavarow[or evnn�c oROVI510N5 OF lAW3�ND ORLMANCES GOVERNINO TM19 TYPE Oi <br /> WORK WILI BE COMPIIED N'ITN WMETHER SPECIFIEL IIEREIN OF <br /> NOT TNE GMNTING OF A PERRIT OOf.S NOT PPESUME TO OIVE <br /> uauoexmme�wervwmee��n�axret�owoa�n¢nrwocun�m �UTHORITV TO VIOLATE OR C�NCEL TH[ PROVISION OF ANY <br /> im naa ir OTHER STATE OR LOGAL LAW REGUUTING CONSTRI/CiION OR T4E <br /> PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORRED BY�� <br /> OWNEP OF TNIS PROPERTY TO GERFORM TNE WORN iOR WNicN <br /> APPLICATION IS M�pE AN� I COMPLV WI7M THE STATE <br /> a,K�i�u,o�Fy CONTNACTORS LAW IE tl ROW ANO Ti�]00 WAC <br /> c�we�wueriwiow�u«n.woxees�eienux[ru�eex x � 72/282000 <br /> '_"""_ <br /> < emc> <Add�ess> sw�.iuee.- .-____._____________..__o.�ri________ <br /> �Gly> ST QiD> �Fhone> cnr eusiHcse uc[�sc eo <br /> PLUMBINO MECX�NICIIL <br /> NO. TYPEOFfI1ITUREORITEM iff NO. TYPEOFEOUIVMENt IH <br /> WF7ERClOSET OILET NC.kMNOIGUNIiS <br /> BATHLUB FORCEDr�IR5YS1EM5 <br /> IAVATORV WASM B�SIN IGTPURIP <br /> SIAMiR UryRNEA1E5 <br /> NRf,H[N SIM(6 OISP CLO1/1ESORVERS <br /> p51hYASMR RANGEHOO� <br /> Ul1NpP.YTRRY WATERHEATER <br /> Cl07HE5WA5N[R WOOpSTOVE <br /> 11N�NRl MEtALfIREPUCE r7ppBURNING <br /> pfilMtlNGfIXXlfNN FIREPULEINSERT OODBUIt1AN(i <br /> FLOORORAM GA$FIFfPUCF <br /> W�CNFLnW PREVENTERS GAS MNGE <br /> SINR SFRVICE�BAR.ETC Gr\SPoPING <br /> E%HAi IST(AN <br /> SUBTOTAL { SUBTOT�L <br /> 1ERAf f {�/�f <br /> TOTALFEE f D TOTALFEE f 0 <br /> FOR OFFICE U9E ONLV: MOtll�l-O b <br /> INp113E1N1� M[IJiSfIyC� 61pf3I�6KF %YIC�t[�NVYBEN !(E NfClY�Iq <br /> ou.cwi muvu wcunuie FEEt V11LU�TION FEE I <br /> mu oln eu�omo I <br /> rY✓:w�li4i1��UN 11�lC�IMF1lrN0 S�hbNWli <br /> �^^'� nweiw <br /> f1CCV�MNL� Ml q S�CMAS CCC�'WM1lOM NSf4FH1 UECW4CN <br /> GNM � <br /> om ora <br /> IINLSwnnl[NMlOII Pf�SM '��I�µ��MCN[Q <br /> �INFP <br /> IINl�i1N4N(OI� N[GM � <br /> 1t�iFl1\dM1WCN�RQ( <br /> na n r wsi Ams�n.+an ne� CITY OF EVEqETT �ve�Kwawe <br /> IOCALSALES <br /> rure TNX COOE IS 7105 TOTnL <br />