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APPLICATIO�v FOR CONSTRUCTIi.N P'ERMIT <br />CITY OF EVERETT . BUILDING DIVISION � <br />3200 CEDAR STREET. EVERETT, WA 08201 . 257-6810 , <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />IPROJECTADDRESS <br />9016 4TH PL SE <br />Pal HuHman 9016 4th PI SE Everett WF 98208 4253556342 <br />TENANT MAILPDDRE55 �ITV Lp pHpryE <br /><Name> <Address> �Citv> ST �Zip> <Phone> <br />RRCHrtECTOF0E51GNER MAILADDFE55 Cltt LP P1pNE <br /><Name> <Address> <City> ST <Zio> <Phone> <br />GENEHALCONiMCTOR MNLRDDHE55 Cltt LP PNOHE STRIEtICENSEI <br />Fasl Water Heaters Comp 12601 132nd Ave. N.E. Kirkiand Wf 98034 4258143124 FASTWHC052DF <br />MECNANICPLCONTRALiOR MNLMORE55 CITY ZP PMpN[ STATELICCNSEI <br /><Name> <Address> <City> ST <Zip> �Phone> <Lic No> <br />PLUIJBiNGCONiMCTOR MRIL�DpNESS dTY qP PNpNE STATEUCENSE• <br /><Name> <br />Remove/repiace eleclric waler heater <br />�or <br /><Name> <br />.�I:lIJ_�� <br />BLOC1t______ _- __ OF__ ___"__._____- _"_ - __ <br />NDER.ROpRE55,TEL[PHON[NUMBER <br /><Address> <br />ST <Zip> <Phone> <br />PEOFFIXTUREORITEM P <br />TRAY <br />» <Phone> cLic N <br />HEATINGSYSTEM: ❑GASDELECTRIC �____ <br /><Phone> <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW !HE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMC 'f0 GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAI_ LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEF7Y TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 ROW AND 2g6200 VJAC. <br />• <br />x ------------------- 04/23/2001 <br />SIGNATURE DATE <br />CIiV OUSINE55 LICENSE N0. <br />p��y�a <br />