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APPLICATIO�� FOR CONSTRUCT�vN PERMIT <br /> CITY OF EVERETT . BUILDING DIVISION � <br /> 3200 CEDAR STREET.EVERETT,WA 08201 .257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> 5822 1ST DR W <br /> OWNER MNLPDDIiE55 �ITV PP PNpHE <br /> Arun Shartna 5822 1st Dr W Everett WA 98203 4253479372 <br /> tEN�HT MNLNDDFE55 CITY LP PIIONE <br /> <Name> <Streeb cCity>_ ST <Zip> <Phone> <br /> AqpHrtEGtORDESiGNER MNLMORE55 cm r PHONE <br /> <Name> <Slreel> <Cil �> ST <Z�p> <photl8> <br /> GENERALCONTqACTOR MAILMDI2E55 �ITY LP PNONE STATELKEIEE� <br /> Fast Water Heaters Comp 12601 132nd Ave. N.E. Kirkland WA 98034 4258143124733 FASTWHC052DF <br /> MEGWIiCAICONTMCTON MFILADDRE55 CITV 21P q10NE STATEIICENSE� <br /> <Name> <Streel> <City> ST <Zip> <Phone> <Lic No> <br /> PLUMBINGCONtRAC10R MNLAO�NE55 Cltt LP PHONE STAlEl10EN5E� <br /> <Name> <Street> cCity> ST Qip> �Phone> <Lic No> <br /> CONTMCI PRipE OF WORN <br /> 449.0!1 HEATINGSYSTEM: ❑GAS�ELECTRIC �______ <br /> OE°���dE WORRAND SOUME FOOTAGE iNVOLVEO ('pNTPGT PEHSON AND PIqNE NO. <br /> Removelreplace gas waler healer Pamela Hill <br /> 4258143124x133 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSE�USEOFBUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITh WHETHER SPECIFIED HEREIN OR <br /> IEGALDESLRiPT10NOFPqOPERTY�SHOWNBELOWONRTTRq1TWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot__________ e�ocK _______ oF_____________________________ AUTHORITV 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 PROPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> PARCELTA%IO.NUMBER CONTRACTORSLAW 18.27ROWAND286.200WAC. <br /> ooe�sa0000s000 <br /> CONSTRULTIONIOANLENOER,ADDRE55.iELEPMONENUM6ER X ___„__ O7IZ3IZOO� <br /> <Name> <Street> ------------------------- <br /> SIGNATURE DAiE <br /> <CIIY> ST <ZIp> <Phone> CITY 6USINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFIXTUREORITEM F� NO. TYPEOFEOUIPMENT Fg <br /> WATERCLOSET OIL A!C-A/FINDLGUNITS <br /> BATHTUB FORCEDAIRSYSTEMS <br /> LAVATORY WASH BASIN HEATPUMP <br /> SHOWER UNRHEA7E5 <br /> KRCHEN SINK 8�ISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY 1 Wq7ERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> U121NAL METALFIREPLACE OODBURNING <br /> DRINKINGFOUMAIN FIREPLACEINSERT OODBURNING <br /> _ FLOORDRAIN GASFIREPLACE <br /> BACKFLOW PREYCiv i ERS GAS RANGE <br /> SINK SERVICE-BAR,ETC. GASPIPING <br /> EXHAI�ST FAN <br /> SUBTOTAL E O SUBTOTAL E O <br /> �vr,ai S poa.fr S <br /> TOTAL=EE 5 O TOTALFEE 5 O <br /> MD/d - O� 0.J)bU <br />