Laserfiche WebLink
1 <br /> ;-� '� ERMIT APPLICAI`��ON <br /> ��r� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 820606 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 10411 AIRPORT RD,EVERETT,WA 98204 OOS38200002400 � <br /> 3 <br /> LEGAI LOT NO. BLOCK TRACT <br /> OWNER ADORESS PHONE <br /> DELTA PROPERTIES �yy00 144 AVE NE , <br /> � • WOODINVILLE, WA 98072 (425)487-52P" <br /> TENANT NAME CONTACT NAME PHONE <br /> RANDY S RING R PINION pAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE� <br /> FAST WATER HEATER COMPANY I2601 132ND AVE NE - <br /> FASTWHC052DF I <br /> (425)814-3124 KIIiKLAND,WA 98034 02/162005 � <br /> PROPOSED USE OF BUILDING ewim�a r•en,mca WORM ��ea�eon H T SOURC� <br /> PERMIT Com6lnation Plumbinp -.AlbnBon bclde <br /> TYPE D�mWilion Sipn TYPE N�w as <br /> r R� a1rlMaint er <br /> CONTRACT PRICE OF WORK $3q9.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 37p5 <br /> WORK DESCRIPTION Remove/Replace Electric Warer Heater <br /> PLUMBING MECHAMCIU. <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVP OF U(TUR R ITEM <br /> ____ WATER CLOSET ______ AIC-AIHANDLINCs UNITS <br /> _____ BATHTUB _�__ PORC�D�:i::oYSTEMS <br /> ___A LAVATORY(WASH BASIN) __,_ HEAT PUMP <br /> __ SHOWER ___ UNIT HEATERS <br /> ____ KITCHEN SINK S DISPOSAL _____ CLOTFIES ORYER <br /> ___ DISHWASHEft __ _ RAMGE HOOD <br /> _____ I.AUNDRY TRAY __9__ WATER HEATER <br /> ___ CLOTHES WASMER ____ METAL FIR£PLACE/STOVE <br /> ___ URINAL ____ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> _ FLOOR DRAIN ___ GPi3 RM�GE <br /> _____ BACKFLOW PREVENTER __ GAS PIPING <br /> _ SINK (SERVICElBAR/MOP/ETC.) ___ EXHAIFST fAN <br /> ____ OTHER____ __ ___ OTHER_�____�________^ <br />� <br /> --- — ---- ------- ----------------------- <br /> 1 HEREBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APUCATION AND KNOW THE SAME TO BE?RUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO WIMT YVMETHER SPECIFtEO MEREI <br /> OR NOt.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OP CONSYRUCTION.THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH�CH APPLICATION IS MADE AND i COMPLY WITH TME ST�TE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> SlynaWre of OwnedContnetor/Authoiised Ageni �r,.�� ���_j, - ���� 02/18/2003 <br /> u�a� <br />