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APPL�CATICji� FOR CONSTRUCT�vN PERMIT � <br />CITYOFEVERETT. BUILDINGDIVISION `./ I <br />3200 CEDAR STREET. EVERETT, WA 08207 • 257-8810 <br />❑ DEMOlIT10N ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI. 0 PLUMBING ❑ SIf3N <br />PROJECTADDRESS <br />5107 RUCKER AVE _______ <br />Fast Water Healers <br /><Name> <br />349.00 <br />5107 RuckerAve <br />JL MONE55 <br /><Address> <br />JLADOHE55 <br /><Address> <br />JLMIXtE55 <br />12601 132nd Ave. N.E. <br />JLMORE55 <br /><Address> <br />Remove/replace electric water heater <br />PROPOSEO USE Oi 911R01NG <br />LOT ___"___-- BIOCN <br /><Address> <br />ST <7_ip> <Phone> <br />. ST <Zip> <P► <br />P110NE STATElKENSEI <br />W/ 98034 4258143124 FASTWr <br />iMN)NE STATELICENSE/ <br />ST <Zio> <Phone> <Lic No> <br />HEATINGSYSTEM: ❑GASL]ELECTRIC <br />I f1EREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDIN �NCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERM�T DOES NO7" PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CkNCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED 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 7827 ROW AND 296.200 WhC. <br />x —"'"-'� ______ 0411712001 ______ <br />SIGNATURE ��TE <br />CITY BUSINE55 LICENSF NO. <br />