Laserfiche WebLink
frim: 09/3��2009 14:52 N137 P. 002/003 <br /> PERMIT APPLICATION 460464 <br /> ��i�� rITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 110 F3AR13ARA LN,tiV1:Rf.7'T, WA 9R2(�3 OUS'J880�000102 �� %l � .� - C �C � �� <br /> �. J <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> MAl'L)ONALU, URUCI: 110 UARI3ARA I.N ' <br /> • IiVf'.RI'.l'I'. WA 98203 (4_S}i22-7G78 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 425-638-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASI� 14'A77:1i I IGA'1'GR COMPAN7' 12G01 132ND AVG NH FASTW WH94NUC <br /> 425-638-7054 I:IKKI.ANU, WA 98034 01/04R010 <br /> PROPOSED USE OF BUILDINO eu�m�no b��ah�n�ca Addlllon H T SOURCE <br /> PERMIT Combl��llon Plumbinp WORK /���ntlon EI�ctAe <br /> Residentlal �'ypE O�mo111ion Slpn NPE N�w as <br /> R� �Ir1M�ln1 har <br /> CONTRACT PRICE OF WORK 5449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 7105 <br /> WORK DESGRIPTION �t�movc/Kcpincc Gus Watcr I lcutcr <br /> PLUMBING MECHANICAL <br /> O I U I E T OF U(TU R 1 E <br /> _____ WATER CLOSET ______ q/C-A/HANDLIN6 UNITS <br /> _____ BATH7UB _�_ FOR�'ED AIR SY57EM8 <br /> ______ LAVATORY(1NASN BASIN) _ HEAT PUMP <br /> _______ SHOWER _, UNIT HEATERS <br /> _____ KITCMEN SINK 6 DISPOSAL CLOTHE3 DRYER <br /> ___ DISHWASNER ^ ^_ RANGE HOOD <br /> ______ LAUNDRY TRnY _ I__ WATER HEATER <br /> ______ CLOTHES WASHER ____ METAL FIREPLACFJS70VE <br /> ___ URINAL ____ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN _ OAS FIREPLACE <br /> _ FLOOR DRAIN 6AS RAN6E <br /> ____ BACKFLOW PREVEN7ER __ pA3 pIpIN6 <br /> __�_ SINK (SERVICE/BAR/MOP/ETC.) _� E7(HAUBT FAH <br /> ---- OTHER----- _ OTHER---------,� <br /> 1 HEREBY CERTIFY THAT I MAVE READ ANO EXAMINEO THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PHOVISIONS OF LAWS AND ORDIN�NCES GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED WIHT WHETMER SPECIFIEO HEREI <br /> OR NOT.THE OftNNTING UF A PERMIT JOES NOT PRESUME TO GN[AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF MIV <br /> OTMER STATE OR LOCAL LAW RE6UlATING CUNSTFiUCT10N OR TME PERFORMANCE OF CONS7RUCTION.THAT I AM AUTF!ORIZED <br /> BY THE OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WIi1CHAPPLICATION IS MADE ANO 1 COMPLY WITH THE STATE <br /> CONTRACTORS lAW 76.27 RCW AND 298.200 WAC. <br /> Sipneturo of OwnodContnctor/Authori:ad Agent ��.`��y����1�_ ���� p��� <br /> ')"" 09/30,'2009 <br /> u�vii <br />