Laserfiche WebLink
� APPLICATI�rJ F�R COfVSTRUCT'rJN PERMIT <br />CITYOFEVERETT. BUILDINGDIVISION \� <br />3200 CEDAR STREET. EVERETT, WA 08201 . 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />IPROJECTADDRESS <br />519 MADISON ST B <br />OWNER MAILAUDRE55 CITY Lv rnvn� <br />Jennis Dale 519 PAadison Sl i�8 Everelt WA 98203 4254230428 <br />TENMIT MNLAD�RE55 CITY LP PHONE <br /><Name� <Streeb <CiIY> ST <Zip> <Phone> _ _ <br />AqCHITFGTORDE5IGNER MAI�A�ORESS CIN LP PHONE . <br /><Name> <Streel> <City> ST <Z(p> <Phone> <br />GENERALCONTRACiOR MAILPDDRESS CIiV LP PHONE STATELICENSEM <br />Fasl Water Heaters Comp 12601 132nd Ave. N.E. Kirkland WA 98034 4258143124133 FASTWHC052DF <br />MECINNICALCONTMCTOR MPILADDPE55 CITY LP PHONE STATEIICENSEM <br /><PJame> <Slreet> <City> ST <Zip> <Phone> <Lic No> <br />muuxWGCOHTRACTOR MNLA�DftE55 CITY LP PHONE STATEl10EN5EM <br /><Name> <br /><Street> <br />Remove/replace eiectric water healer <br />LOT ___'__— BLOG( _""__ OF <br /><Name> <br /><Street> <br />ST <Zip> <Phnne> <br />ST <Zip> <Phone> <Lic No> <br />HEATINGSYSTEM: ❑GAS❑ELECTRIC ❑ <br />I HI:REBY CERTIFY TH,AT I HAVE READ AND iXHMINED THIS <br />APPLICATION AND KNOW TtiE SAME TO BE ?RUE AND CORRECT. ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL �E COMPLIED WITH WHETHCR SPECIFIED HEREIN OR <br />NOT. THF_ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY 7HE <br />OWNER 9F THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT��RAC TORS LAW 18.27 RQW AND 296200 WAC. <br />X ��_" _ .�1 _--_—_ 08i�2/2001 '_--_ <br />SIGNATURE OATE <br />CITY BUSINESS LIC[NSE NO. <br />Rl] NIS <br />