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. APPLIC(","ION FOR CONSTRUCTIOr�PERMIT� <br /> � CITY OF EVcRETT• BUILDING DIVISION <br /> 3200 CEOAR STREET.EVERETT,WA 08201.257-8810 <br /> ❑ DEMOLITION ❑ COM&NA710N ❑ BUILdN6 ❑ MECHANICAL 0 PLUMlING ❑ EION <br /> PROJECTADDRESS <br /> 2325 OAKES AVE Everell WA 98207 <br /> wa�ornEsa ar T�° ^a"E <br /> °N'"E" 98207 1252597198 <br /> Allen Uptom 2325 Oakes Ave Evareti � � <br /> r[wwl wawoxEsl <br /> <Neme> <Address> <Cil > <ZI� <Ph�> <br /> MWRCiONOF96MFM MMAaIlE65 G� <br /> <Neme> <pddress> cCil > <ZI > <Phone> <br /> OENEMLCONiMLtON <br /> U.VL/LORFSS GT� tM OI�p4 61��ELILfMY• <br /> Fasl Weler Healers Comp 12601 132nd Ave.N.E. Kirklend 98034 4268�14�3121 e PAcSNTWHC052 <br /> 4ECM.�NL�LLONiML10N MKID�MF55 GN � <br /> <Name> <Address> <City> <ZIO> <phone> <Lk No> <br /> Giv 2F Pl�piE 6M1ElKENA• <br /> nwaxocovm�c*ox wn�mnr.ss <CI� > <Zip> cPhone> <Lk NO> . <br /> <Name> <Address> i <br /> cwrwcrvx�ccarwau HEATINGSYSTEM: ❑GAS�]ELECTRIC Q__— <br /> 349.00 cam�nvcnew,wov�aucw. <br /> o�yuuuwonwumswr,ntraor�wcwvavEo <NAME> <br /> Removelreplace eiedric weter heater <br /> <PHONE> <br /> I MEREBY CERTIFV TMAT I HAVE NEAO Aq0 E%AMINED 7HI5 <br /> APPLICATION ANO NNOW THE SMIE TO BE TRUE iVlD CORRECT.ALL <br /> PROVISIONS OF IAWS ANO ONOINANCES GOVER�ING THIS TYPE OF <br /> rxovououuwsw�dNa WOFN WILL BE COMPLIED WITH WHETMER SPECIFIED NEREIN OR <br /> NOT. THE GMNTINC OF�PERMIT DOES HOT PRESUME TO GIVE <br /> �[pµp[SCPp11IX1Oi>MOV[R�Y�SWNNlFIOWON�II/.CNM(1COPIES� OTHERSATEORLIWALLAWREGUUTMGCONSRUCTOIONOFITME <br /> w�__-----K�----�� ---'------ PERFORMANCE OF CONSTRUCTION.TH�T I MI�UTHORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICM <br /> APPLICATION IS MA�E AND I GOMPLV WITM THE ST�TE <br /> CONTMGTORS lAW 1B.P7 ROW NID PB8.Y00 W�C. <br /> wnui+�.�o nwecn <br /> x 01IOBI2001 ____ <br /> COHStPUCiqNIWNI[NCER�D'JRESS.i4EW�OMEMUYlFM 0/4E <br /> <Neme> <Address> SIGNATURE <br /> <City� ST <Zip> <Phone> CIIY BUSMESL ULENSE NO. <br /> PLUMlIN6 MECNIINIC�L <br /> �p. 7Y►EOFEOUPMENT � <br /> �p, TYPEOFFl%TUREORREM � pK,�NOIGUNITS <br /> WATERCLOSET OI�ET Fq=�pNRSYSTEMS <br /> B4TFRUB <br /> LAVATORY WASM BASIN HEAT%NP <br /> �R UNITHFATE$ <br /> NIid:CNSINK8p5P GOTNESIXtYE0.5 <br /> pSMNASNER NMlCE1100D <br /> UUNDRYTAAY 1 WAIERHEA7ER <br /> CLOTMES WASMER W�ODSTOVE <br /> MET/�LFIREPIACE �1RN�NG <br /> ��� FIREPLACEINSERT BUiW�NG <br /> IX2NKINGFIXINiAIN G�SFlPEPIACE <br /> i�pprypRplN <br /> BACKFLOWPREVf:NTERS G�SRANGE <br /> SINK SERVICE-fWt E1C. �%�� <br /> E%HAUSTFAN <br /> SUBTOT4L S O SUBTOT�� S 0 <br /> i9�r S P6Mf S <br /> TOTALFEE S 0 TOTALFEE S � <br /> FOR OFFICE USE ONLV: ��„,�„o. <br /> fPONlSEtBACt AFU�SE1lACR SCESCIMCJ( MMCnfCRMlM6ER � <br /> io,�� ��iyh FEES VALUIUWN FEE <br /> VSEIOK <br /> ort� orw euaon.c <br /> MIW1LWIlAiqM NO.CfONLLLING 3�2EIXBlDWf1 <br /> U4113 �W&� <br /> p��p.W�v M C�SfOR.[5 OLCIF�M1tIOM BlSC4EMi 4EGMI.MKaI <br /> CAWP pK3 OMO <br /> .cw*w�.�wwcr�cu <br /> fIPF6>AIM4fPRf09 RF��� <br /> OtKP <br /> i1PE�WYREOD RU�� EIAIFlUlpMOSYACWAGE <br /> nvcorcwsr. wws�wna+Eoe. CITVOFEVERETT nnucwonKs <br /> LOCALSALE9 <br /> ar� TAX CODE IS�705 7oTAL <br /> .i: <br />