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APPLICATIO�v FOR CONSTRUCTI�UN PERMIT I <br />CITY OF EVERETT . BUILDING DIVISION � <br />3200 CEDAR STREET . EVERETT, VVA 08201 . 257-8810 <br />❑ DEMOLITION ❑ COM8INATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />IPROJECTADDRESS <br />721 LAUREL DR <br />OWNER MFILAOD0.E55 CITY LP rn.n.c <br />David Shamhart 721 Laurel Drive Evereti WA 98201 4252594503 <br />TENANT IAAILPDORE55 GITY LP PNONE <br />�Name> <Slreet> <CitY> ST <Zip> <Phone> <br />MCHiTECTOR0E51GNEH MPJLA�DRE55 Cltt LP PHONE <br /><Name> <Streel> <City> ST <Zip> <Phone> <br />GENERALCOMftAGTOR MNLADDRE55 CITY LP PHONE STPTELJCENSEN <br />Fast Water Heaters Comp 12601 132nd Ave. N.E. Kirkland WA 98034 4258143124133 FASTWHC052DF <br />MECIWN�CALCONTMCTOR MPILADDRE55 QTY LP PMONE StAfELICENSEM <br /><Name> <Slreel> <City> ST <Zip> <Phone> <Lic No> <br />ciuuBiNGCONTMCTOR MAILAODRESS CITY LP PNONE STATELICENSEk <br /><Name> <br /><Street> <br />)ESCRIBEKY1ftK PND SOUME FOOTAGE Irvv�LvtU <br />Remove/replace gas water heater <br />LEGALDESCRIPTIONOPPROPERTV�SHOwNBELO� <br />LOT _ ______ _" — — BLOCN OF <br />PARCELTA%I.D,NUMBER <br />00561901000600 <br />GONSTRUGtIONIOANLENOER.AO�FESS,TELEPW <br /><Name> <Street; <br /><(:itv> ST <br />i(ill_\� <br />Sl' <Zip> <Phone> <Lic No> <br />HEATINGSYSTEM: ❑GASDELECTRIC Q_____ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREGT. ALL <br />PROVISIONS OF LAW5 AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCF.L THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CUNSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 ROW AND 29fi.200 WAC. <br />X �`'�_"-___jT _---------- OBI73I2001 ------ <br />SIGNATURE DATE <br /><Phone> ��T� OUSINE55 IICENSE NO. <br />R67 <br />f7_P[Hq <br />!ti'1 �L�� -fla,� <br />qJ] M1'IS <br />