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APPLICATi��J FOR CGNSTRUCT�iJN PERIVIIT <br /> CITYOF EVERETT . BUILDING DIVISION � <br /> 3200 CEDAR STREET.EVERETT,WA 08201 .257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> 703 40TH PL <br /> OWNER MAI�AODftESS CITY LP PHONE <br /> RICHARG ROTERT 703 40th PI Everett WA 98201 4252583638 <br /> TEN0.4i Mp1LppDRESS CITY LP PHONE <br /> �Name> <Slreeb <Citv> ST Qip> <Phone> <br /> ARLNRECTOR�ESIGNER InF':A�ORESS GTV ZIP PHONE <br /> <Name> <Streeb <Ciry> ST <Zip> <Phone> <br /> GENERAICONTRACTOR IA/dLADORE55 QTY LP PHONE STAIELICENSEp <br /> Fasl`Nater Healers Comp 12601 132nd Ave. N.E. Kirkland WA 98034 4259143124133 FASTWHC052DF II <br /> MEGNANICAICONiRACTOR MAILPD�HESS CITY ZIP PHONE STATELICENSEtl , <br /> <pJame> <Street> <City> ST <Zip> <Phone> <Lic No> i <br /> PLUM1IBINGCONTRACTOft R1PILAOORESS CITY ZIP PMONE STATEUWNSEN I <br /> <Name> <Streel> <City> ST <Zip> <Phone> <Lic No> <br /> CONTftACT PRICE OF WORN <br /> 449.00 HEAfINGSYSTEM: ❑GAS�ELECTRIC �_____.__ <br /> DESCRIBE WOFH ANO S�UARE FOOTAGE RJVOLVEO CGNTACT PERSON AND PHONE N0. <br /> Remove/replace gas water heater Pamela Hill <br /> 4258143124x133 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXA�dINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEUUSEOFpUIL01NG PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS IYPE OF I <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR � <br /> �ecaioesca�arior+oFvaoaean�sNowr+ae�owoRnttacHrvrocoaies� NOT. �i HE GRANTING OF A PERMIT DGES NOT PRESUME TO GIVE <br /> ioT___________ o�ouc _________ oF__.____________ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT�AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMFLY WITH THE STATE <br /> ❑nace�T,ixi.o.r+un+eeH CONTRACTORS L.AW iB27 F;OW AND296.200 WAC. <br /> 00801900003600 <br /> CONST0.UCTIONLOANLENOEN,AOOftESS,iEIEPHONENUMBER X ______________________ __ O7I3OIZOO� _ __ <br /> <Name> <Street> SIGNATURE OATE <br /> <Cily> ST <Zip> <Phone> CITY DUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFIXTUREORITEM Fff NO. TYPEOFE�UIPMENT F$ <br /> WATERCLOSET OILET AIC-NFiNDLGUNITS <br /> BATHTUB FORCEDAIRSYSTEMS <br /> LAVATORV VlASH DASIN HEATPUMP <br /> SHOWER UNITHEATES <br /> KRCHEN SINK 8 DISP CLOTHES DRYERS � <br /> DIS;-IWASHER P,ANGE HOOD <br /> LAUNDRYTRAY 1 WATERHEATER <br /> CLOTHES WASHEf2 WOOD STOVE <br /> URINAL METALFIREPLA:E OODBURNING <br /> DRINKINGFOUNTAIN FIREPLACEINSERT WOODBUR4ING <br /> FLOO� DRAIN GASFIREPLACE <br /> BACKFLONJFREVENTERS GASRANGE <br /> SINK SERVICE•BAR,ETC. GASPIPING <br /> EXFiAUSTFAN <br /> SUBTOTAL 5 O SUBTOTAL S O <br /> PERA1fT 5 FERMfi 5 <br /> TOTALFEE 5 O TOTALFEE S O <br /> rtl]615 <br />