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. • APPLIC� � TION F�i� CONSTRUCTICI�' �ERMIT� <br /> � CINCIFEVERETT • BUILDINGDIVISION <br /> 3200CEDA�ZSTREET.EVERETT,WA08201.257•8810 <br /> ❑ UEMOLfTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTA�DRESS <br /> 2124 JACKSON dVE Evereu WA 98203 <br /> 4WNCF �uRAOCRE55 GtY ID RqNE <br /> S Slevenson 2124 Jackson Ave Everett 98203 4253557257 <br /> IEKWi <br /> MIRI�WFC55 UiY 1W P11p1E <br /> <Name Address <Ci1v> <Zip> <Phone> <br /> MfA�IiECI0NpE5iWEN WJlMC1�E55 <br /> <Name Address <City> <Z'p> <Phone> <br /> ccvcwumrrtw�cron r.wiwoncss <irv � <br /> Fasl Waler Healere C�mG 12601 132nd Ave.N.E. Kirkland 98034 4258143124 FASTVJHC052DF <br /> uccw�uiKwconrwnon waww+css un nr vrror�[ sr�r[ikcHs[� <br /> <Nama> <Address> <Cily> <Zip> <Phone> <Lic No> <br /> nuuaniccorv�n.�cron �.v.wox[ss � cm m vrrovE su�cuccxst• <br /> <Name� <Addfn55> <Ci�y> <Zip> <Phone> <LIC No> <br /> CpN1P/LLGRICEOf WOPM <br /> 349.00 HEATINGSYSTEM: OGAE❑ELECTRIC ___— <br /> pESCflIBC WOnK M1050WP[f W fAGE IIN0.VCD Cd11/.Cl iF0.5W wNOPIqNE NO. <br /> RemovelReplace eleclric waler healer <NAME> <br /> <PHONE> <br /> I HEREBY CERTIFY TNAT I HAVE 0.cAD AND EXAMIf:::� TMIS <br /> APPLIGATION ANU KNOW THE SAME TO BE TRUE AND COHRECT.ALL <br /> PftOVIS10N5 OF IAWS AND ORDINANCES GOVEPNIYG THIS TYPE OF <br /> vnovosrouscovem�nnn WORN WILL BE COMPLIED WITN WHETHER SPEC6'iED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESIIME TO GIVE <br /> ¢cwo[suavriorvovanor[nrvRrnvme[wwanenecniwocarul AUTMORITY TO VIO.ATE OR CANGEL THE PROVISION OF ANV <br /> OTHEF STATE OR LOCAL LA�Y REGUTATING GONSTRUCTION OR TME <br /> �a�-----�'�--�� ----- PEftFORMNNCE OF CONSiRUCTION.TMAT 1 AM AIITHORIZEO BY TME <br /> OWNER OF THIS PROPERTV TO PERFORM TIIE WORK FOR WMICM <br /> APPLICATION IS MAOE ANO I COMPLY WITM TNE STATE <br /> CONTRACTORS LAW 1B2T ROW AND Y96.IOO WAC. <br /> PMCFllAM1�.N1lYBEN '1� <br /> �� <br /> fANSiPVCIpNIONIILHpERA0DRC55.IElCPMONC1.tiNBER x �� �yZ��20�0---- <br /> <Plame> <br /> <Address> SIGNAIDRE DAiE <br /> GC;��> ST <ZIP> <Phone> L'LY Bl151NE55lICENSE NO. <br /> PLVMBING MECHPNICAL <br /> NO. 7YPEOFFIIRUREORITEM fff N0. TYPEOFE�UIPMENT � <br /> WATERCLOSET OILE fvC-PMNULGUNITS <br /> BATHTUB FOft:.E0AIR5YSTEMS <br /> LA�'4TURV WASN BASIN N�TP�P <br /> —' ��,ER UNITHEATES <br /> NRCHENSiNK6DIW CLOTHESDRVERS <br /> DISlhMASNER RANGEHOO� <br /> LAl1NORYTRAY 1 WAT[RHEATER <br /> CLOTNESWASHER WOODSTOVE <br /> URINPL METPIFIFEYinCF(NOOOBURNING <br /> piiINKINGFWMAiN FIREPIACEINSERT 1VOOOBURNING <br /> FIdJRURAIN GPSFIftEPLACE <br /> BACNFLOWPREVENTERS GASRANGE <br /> SINH SERVICE�BAR.ETC. GPSFIPING <br /> E%NAUSiFAN <br /> SUOTOTAL 5 O Sl1BTOTAL S O <br /> PEid.vi 5 PFIaM 5 <br /> TOTALFEE S � TOTALFEE 5 O <br /> FOR OFFICE USE ONLY: <br /> fNOMSEiBI�CR IiFMSCiBI.LR 510ESLiB�L1'. LNfCRNVMBFR � RE NFCEIViN]. <br /> 6v - D�;� _ <br /> us[zor�c �o*u+u v,vw*s�*e FEES VALUA710N FEE <br /> OYES ONO gW�pqp <br /> MEGN1LI411�tICN AOIXOVRLLING $IIIOFBIM'I.I. <br /> UNIi4 RU461HG <br /> OCCVVI.NCY M1O.Oi51pR�E5 OCGUGA4ILOM ��u�MT MECN/JIIU.L <br /> GPJVG <br /> 01L5 ON0 <br /> AppilONAI V W1 CNEU <br /> IiNESVNINFIFRPEOU RUSCN <br /> OIXFP <br /> fIPEAUPMPCO� PVSM <br /> SI�iEBN�pNG511PCIMPGE <br /> nvcosca.sc ow+s�ww+oycoar CITYOFEVERETT v�eucwoaKa <br /> LOCALSALES <br /> an TAX CODE IS 3505 TOTnL <br />