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APPLICAT16N FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT I BUILDING DIVISION <br /> 3200 CEDAR STREET.EVERETT,WA 08201 .257.8810 04rrr <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ® PLUMBING ❑ SIGN <br /> PR0' CTADDRESS <br /> 11 77TH PL SW <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Gillian Stroh 11 77th PI SW Everett W/98203 4253536573 <br /> TENANT MAILADDRM CITY ZIP PHONE <br /> <Name> <Address> <City> ST<Zip> <Phone> <br /> ARCHITECT OR DESIGNER MNL ADOR'SS CITY ZIP PHONE <br /> <Name> cAddress> <City> ST<Zip> <Phone> <br /> GENERAL CONTRACTOR MNLADOR'SS CITY ZIP PHONE STATELICENSEM <br /> Fast Water Heaters Comp 12601 132nd Ave.N.E. Kirkland W/98034 4258143124 FASTWHC052DF <br /> MECHANICAL CONTRACTOR MAILAARESS CITY ZIP PHONE STATELICENSEI <br /> <Name> <Address> <City> ST<Zip> <Phone> <Lic No> <br /> PLUMBING CONTRACTOR MNL ADDRESS CITY ZIP PHONE STATE LICENSE) <br /> <Name> <Address> <City> ST<Zip> <Phone> <Lic No> <br /> CONTRACT PRICE OF WORK <br /> 349.00 HEATING SYSTEM: ❑GAS❑ELECTRIC Q_________ <br /> OE SCRIBE WORK AND SCW W E FOOTAGE INVOLVED CONTACT PERSON AND PHOVE NO. <br /> Remove/replace electric water heater <Name> <br /> <Phone> <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDINGAPPLICATION <br /> Or LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPER TY(SHOWN BELOW OR ATTACH TWO COPIE S) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT---------- ----_ IAOCK 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 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAA I D NUMBER CONTRACTORS LAW 18.27 ROW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER,ADDRESS.TELEPHONE NUMBER X - 05/24/2001 <br /> --------------------- <br /> <Name> <Address> SIGNATURE DATE <br /> <City> ST <Zip> <Phone> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. 1 TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A1C-AIHNDLG UNITS <br /> BATHTUB FORCEDAIR SYSTEMS <br /> LAVATORY ASH BASIN HEATPUMP <br /> SHOWER UNITHEATES <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY 1 WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING <br /> DRINKING FOUNTAIN FIREPLACE INSERT MOOD BURNING <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOWPREVENTERS GASRANGE <br /> SINK SERVICE-BAR,ETC. GASPIPING <br /> EXHAUSTFAN <br /> SUBTOTAL $ O SUBTOTAL $ O <br /> PERMIT S PEFQ.IT S <br /> TOTALFEE $ 01 1 TOTAL FEE S 0 <br />