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� � , <br /> APPLICATId�� FOR CONSTRU�.T��JN PERMIT <br /> CITYOFEVERETT . BUILDINGDIVISION � <br /> 3200 CEOAR STREET.EVERETT,WA 08201.257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUAABING ❑ SIGN <br /> PROJECTADDRESS <br /> 3506 COLBY AVE <br /> OWNER MNLADDRE55 GTY ZIP PHONE <br /> Jon Ummel 3506 Colby Ave Everett W<98201 4252594304 <br /> TENNIT MNLAUDRE55 JiT LP PHON[ <br /> <Name> <Address> <Citv> ST<Zip> <Phone> <br /> NRCHITEGTORpE51CNER 1.WLAODRE53 GN LP PHONE <br /> <Name> <Address> <Cily> ST<Zip> <Phone> <br /> GENErULGONiMCTpi 1.WLADDRE55 CIiY LP PNONE STATEUCEI6E• <br /> Fast Water Healers Comp 12607 132nd Ave.N.E. Kirkland WI98034 4258143124 FASTWHC052DF <br /> MECNRNIGLLCANiMCTOti MNLRODfiESS CIiY 9P PMONE STATEIICENSE� <br /> <Name> <Address> <City> ST<2ip> <Phone> <Lic No> <br /> PLUMBINGCONTMCTOfi AWLFDDRESS CITY LP PMONE SfA1EUGE16E11 <br /> <Name> <Address> <Cily> ST<Zip> <Phone> <Lic No> <br /> CONTMCT PRIGE OF WORN <br /> 449.00 HEATINGSYSTEM: ❑GAS❑ELECTRIC a <br /> OESCRI6E WORNANp50UME FDOTAGE INVOLVED CANIAGT FERSON AND PM�NE NO. <br /> Removelrepiace gas water heater <Name> <br /> <Phone> <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE HND CORRECT.ALL <br /> PHoroseouseor�uaon+o PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEGRLDESCRIPT10NOFPROPEHTYISNOWNBELOWOliATTACNTVOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wr_______ e�oac ___ ov ____ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TFIE <br /> PERFORMANCE OF CONSTRUCTION,THAT I AM AUTfiORIZED BY THE <br /> � OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> CONTRACTORS LAW 7827 ROW AND 296200 WAC. <br /> PANCELTA%I.p.NUMBER <br /> CONSTRUCTIONlOANLENDER.AU0RE55,TELEPMONENl1MeER X �y� OSIZ4IZOO� _ <br /> <Name> <Address> SIGNAiURE �ATE <br /> <City> ST <Zip> <Phone> CITV BUSINE55 LILENSE NO. <br /> PLUMBING MECMANICAL , <br /> NO. TYPEOFFIXTUREORITEM Fff NO. TVPEOFE�UIPMENT F� <br /> WATERCLOSET OILE AIC-MiNDLGUNITS <br /> BATHNB FORCEDAIRSYSTEMS <br /> LAVATORY ASH BASIN �T�P <br /> SHOWER UNRHEATES <br /> KITCHEN SINK 8 DISP CLOTY.ES DRYERS <br /> DISHWASHER RANGE HOO� <br /> LAUNDRYTRAY 1 WA7ERHFATER <br /> CLOTHESWASHER WOODSTOVE <br /> URINAL METALFIREPIACE OODBURNING <br /> DRINKINGFOUMAIN FIREPLACEINSERT OODBURNING <br /> FIOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK SERVICE•BAR,ETC. GASPIPING <br /> E%HAUSTFAN <br /> SUBTOTAL $ O SUBTOTAL S O <br /> a�,vr s �sr a <br /> TOTALFEE $ O TOTALFEE 5 O <br /> oin5 -033 <br /> I <br />