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APPLICATIOi� FOR CONSTRUCTI�IN PERMIT <br /> CITY OF EVERETT . BUILDING DIVISION �/ <br /> 3200 CEDAR STREFT.EVERETT,WA 08201 .257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> 5808 14TH DR W A <br /> OWNER MAI�A�OFE55 Cltt 7JP PHONE <br /> Scotl�Jielsen 5808 1�1h Dr W#A Everett WF 98203 42534921215 <br /> TENANT MAILAODRE55 Cltt LP PHONE <br /> <Name> <Address> <City> ST<Zip> <Phone> <br /> AftCHITELTORDE5IGNER MAILMORE55 Cltt LP PHONE <br /> <Name> <Address> <Ciry> ST<Zip> �Phone> <br /> GENERALWNTRAGTOR MAILAOORE55 CITV LP PHONE STATEl10ENSEM <br /> Fasl Water Healers Comp 12601 132nd Ave. N.E. Kirkland Wf 98034 4258143124 FASTWHC052DF <br /> MECMANICALCOMRACTOR MqILAU0RES5 CITY LP PHONE S7ATELICENSEp <br /> <Name> <Address> <City> ST <Zip> <Phone> <Lic No> <br /> PWMBINGCONTRALTOR 61AILA�DRESS CITY ZIP PHONE STATEl10EN5Ep <br /> <Name> <Address> <City> ST<Zip> <Phone> <Lic No> <br /> CONTRACTPftICE0F1Y0RK <br /> 449.00 HEATING SYSTEM: ❑GAS❑ELECTRIC Q_______ <br /> DESCRIDE WORKANO SOUARE i00TAGE INVOLVEO CONTACT PERSON AND PHONE NO. <br /> Removelreplace gas waler heater <Name> <br /> <Phone> <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO 3E TRUE AND CORRECT.ALL <br /> PROPOSEDUSEOFBUILDING pROVI510NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGN.OESCRIPTIONOiPROPEHTY�SHOWNPEL01Y0RATfACHTWOGOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ic. __ a�ocK ________ 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 I AM AUTHORRED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE VJORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7 8.27 ROW AND 296.200 WAC. <br /> PARCELTA%I.�.NUMBER <br /> CONSTRUGTIONLOANLEN�ER.A�ORESS,TCLEPHONENUMOER X ��__!!__ ------ 03122/2001 --- <br /> <Name> <Address> SIGNATURE oare <br /> <Cily> ST <Zip> <Phone> CITY Bl1SINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPEOFFIXTUREORITEM Fff NO. TYPEOFE�UIPMENT Fff <br /> WATERCLOS� OIL !..'C-AIFiNDLGUNITS <br /> gqTf{T�g FORCEDAIRSYSTEMS <br /> LAVATORY(VJASH BASIN) HEATPUMP _ <br /> SHOWER UNRHEATES <br /> KITCHEN SINK&DISP CLOTHES DRYERS <br /> DISHWASHER RANGEHOOD <br /> LAUNDRYTRAY 1 WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL h4ETALFIREPLACE OODBURNING <br /> DRINKINGFOUMAIN FIREPLACEINSERT OODBURNING <br /> FLOOR DFtAIN GAS FIREPLACE <br /> BhCKFLOW PREVENTERS GAS RANGE � <br /> SINK SERVICE-BAR,ETC. GASPIPING <br /> � EXHAUSTFAN <br /> SUBTOTAL S O SUBTOTAL 5 O <br /> PERMR 3 PERMR $ <br /> TOTALFEE 5 0 TOTl,LFEE 6 � <br />