Laserfiche WebLink
frnn <br />03/09/2010 11:�3 nio5 �.00ziooz <br />; �, PERMii API�LICATION <br />�� � CITY OF EVERETT P�RMIT �ERVICES <br />C..�� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-$(310 <br />425-257•8857 rAX � <br />RESS <br />I.D.# <br />sao� ts nve �,� t;t-tos, evrar n, wn �szo� �o�sc�ooi tosuo <br />LEGAL LOT NO. BLOCK <br />DE <br />OWNER ADDRESS <br />i�aur:1-r, vvoNNr saa� i s.nv� w�n-tos <br />• ev�iu,•i-r. wn �szoa <br />TEHAN7 NAME CONTi�CT NAMF <br />Carol Randall <br />CONTRACTOR ADDRFSS <br />I�AS'i' NA"1'13R [-1EAT8R COMI'ANY 13G01 132NU AVE NG <br />425-F36-7D54 K[RKLAND, �VA 9303�1 <br />i'HONE <br />AROPOSED USE OF BUILDING Buildinq Mechanicu WORK <br />PERMIT Cum6ination Piumbinp <br />Residenlial 7ypE Demolilion Sign Tti'PE <br />cONIRACT PRICE OFYJORK 5349A0 <br />WORK DESCRIPTIDN Remove/Heplace Elcctric R�ater Heatcr <br />BATNTUB <br />LAVATORY (WASH EiASIN) <br />SHOWER <br />KITCHEN SINK & DISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETCJ <br />OTf'ER <br />PEkMIT# <br />�' — v � <br />� �� <br />PHONE <br />��2s�sis-i ;oi <br />PHONE <br />425-636-7054 <br />CON'(R.LICENSE# <br />rns�revw�i�nsuc <br />O1/04/2013 <br />aloratlen <br />Now <br />OF EVERt17 LOCAL <br />- � - <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES ORYER <br />RANGE NOOD <br />WATER HEATER <br />METAL FIREPL4rE/S70VE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />O7HER <br />SOURCE <br />6 <br />31D <br />_.--- i ------ ------- I ---- I —^------------ <br />HERFHY CERTIFY THAT I HAVE REAO AND EW�MINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECS'. ALL <br />'ROVISIONS OF LAWS ANO ORDINANCES GOVEF2NING THiS TVPE OF WORK WILL BE COMPLIED WIHT WHEiFiER SPECIFIED HERE <br />)R NOT. THE GRANTING Or q PERMIT �OES NOT PRESUh7E TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVI:IUN OF ANY <br />)THER STATE OR LOCP.L LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRl�C710N. THAT I Ald �UTHORIZEO <br />IY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS A1AOE nND I COMPLY WITH THE STATE <br />:ONTRACTORS LAW 1fJ.27 RCW AND 29820D WAC. <br />Signaturo of OwnorfContractorlA.uthorizod Agent �, w�N7l��-.t,�e�P <br />Dute 03/09/2010 <br />w� .ai <br />