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APPLIC� 'ION FOR CONSTRUCTIO' �PERMIT� <br />' CINOFEVERETT.BU'LDINGDIVISION <br />3200 CEDAR STREET . EVERETT. WA 08207 . 257-8810 <br />� OEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL 0 PLUM8ING ❑ SIGN <br />PROJECTA�DRESS <br />2415 7TH ST Evr.relt WA 98201 <br />OWNEN 1AA4IDOPL55 GIY LP PMp1C <br />PaltV Manninq 2415 71h SI Everett 98201 4252584050 <br />iEruu. �wi�oouess un av v�wxc <br /><Name> <Address> <br /><Ci1Y> <ZiP> <Phane' <br />MCMItECI0N0E51GN[q MAILI.O�XC53 Gry Tp '�E <br /><Name> <Address> <Citv> <Zip> <Phone> <br />GENCNALfANiMC10P �IIDOXE55 GiY 0V PMd1E Sl�1ELIC{NH• <br />Fasl Waler Healers Comp 12601 13."nd Ave. N.E. Kirkland 98034 4258143124 FASTWHC052�F <br />4E"W.NIGLCONiPACIOfl IAAILNI00.l55 CItY dV PIWNE SiUEOCENSG• <br /><Name> <Address> <City> <Zip> <Phone> <Lic No> <br />VW4BiYGLONiRI.CiOF IWRPO�PE55 GtY DP 1'NONE bl�i[l1CCN5E• <br /><Name� <Add�ess> <City> Qip> �Phone> _ . <Uc No> <br />Remove/replece eleclric water heater <br />F0.0PoSFOOSE OiBUII➢ING <br />LEGROESGVIP➢QV Oi PFO�CP1'ISMWN BE'AV <br />�or_ azouc'__—_or <br />FOR OFFICE USE ONLY: <br />{ROMifEi.U[N AEAR�. <br />USE20Ni LOi.V <br />NEIGNiIIYIi�PON NO.OI <br />UHIIS <br />O[COGAVCY xOAF SION.ES OCCO <br />GNWP <br />VAVNi51iE <br />OVES ONO <br />OYFS Orv0 <br />aius <br />HEATING SYSTEM: <br />I MekE�V CERTIFY TMAT I HAVE REA� AND EXAMINEO iH15 <br />APPI ICATION AND Y 10W THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF l,'.vVS ANU ORDINAN;ES GOVERNING'fHIS TYPE OF <br />WORK WILL BE �::OMPLI�D WITH WHETHER SPECIFIED MEREIN OR <br />NOT. THE GRF. ITING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTMORITY M VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEF STATE JR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEftFORMFN E OF CON5IRUCTION. THAT I Ald AUTIIORRED DY 7HE <br />OWNER OF' HIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATICrV IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTO^5 LAW 10 27 ROW AND 296200 WAC. <br />X �"' �'_'_ ___ 01/18I2001____ <br />SiGNAiUPE O�TE <br />LIiY 9USINE55 LICENSE NO. <br />SIIXCMAPGE <br />