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APPLICATIar� FOR CONSTRUCT'1�1N PERMIT <br />CITY OF EVERETT . BUILDING DIVISION \� <br />3200 CEDAf: STREET. EVERETT, WA 08201 . 257-8810 <br />❑ DEMOLITION ❑ COMBINATION �j BUILDING ❑ MECHANICAL � PLUMBING <br />PROJECTADDRESS ❑ SIGN <br />3316 HOYT AVE <br /><Name> <br />GENERALCOMRACTOR <br />Fast Water Heaters <br />MECIIr1NICq� CONiNACTOR <br />�Name= <br />PIUMBiNG CONTRACTOR <br />�Name> <br />12601 132nd Ave. N.E. <br /><Streeb <br />Remove/replace electric water heater <br />lOi'__"'—_______ _ BLOCI( ___________ OF____' ___ <br />00435978902400 <br /><Name> <br /><�.I��/> <br /><Street> <br />ST <Zip> <phone> <br />WA 98201 <br />ST <br />•" ' 21P <br />Kirkland WA 98034 <br />ST cZip> �Phone> <br />ST <br />133 FASTWHC052DF <br />Sir1TEl10EN5E Y <br /><Lic No> <br />srn�ucer+se> � <br /><Lic No> <br />HEATINGSYSTEM: ❑�AS[�ELECTRIC <br />1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIO�!S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TH[ 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 I AM AUTHORIZED BY THE <br />OWNER Of THIS PROPERTY TO P[RFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 ROW AIJD F96.200 WAC. <br />X ��__ r� OB/10/2007 <br />--------- <br />SIGNATURE ---------------------- <br />DATE <br />GTY dU51NE5S LICENSE N0. <br />MECHANICAL <br />�I'tOIDB'-UZ ( �)NIS <br />