Laserfiche WebLink
Sent By: HP LaserJet 3100; 4258249516; Jan-4•O6 10:30AM; Page 2 <br /> ,-- PtRMIT APPLI�ATION <br /> ���� CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, NA 96201, 425-257-8810 <br /> oioaor> <br /> SITE ADDRESS PARCBL TAk:1.D.� PERMIT# <br /> SR19 W GLENHAVEN Dk,C'JGRL•TT,WA 98203 0045ti70UU03;UU <br /> P�CI,�Ol -CuZ <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> AICFALI.,J�I�F'&NANCY 4g19WGLENHAVENUk (425pG0•31;8 <br /> • 6VERE7'T,WA 98203 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAME�.A HILL q?$ 814-3124 s 13� <br /> CONTRACTOR ADDRESS CONTR.LICENSE� <br /> FAS'I'WA'l'GK HL•ATERCOMPANY 126c11 I;2�u AVE NL' FASTW��Co52nF <br /> (425)814-3124 KIRKLAND,WA 96U34 02�16l211U7 <br /> PROPOSED USE OF BUILDING 9uildinp Mnehanica WORK AddiUo� HEAT SOIIRCE <br /> PERMIT comb�nanon PI�mClny Nl�rauon Ei�cmc <br /> TYPE o«nollllon si�n TYPE New u <br /> � R� fldMaint �r <br /> CONTRACT PRICE O�WORK a449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3'105 <br /> WORK DESCRIPTION Removelltcrlece Gas Water Heater <br /> PLUMBING � HANICAL <br /> O U ITE � OF F (TUR EM <br /> WATER CLOSET ___ A!C•p/HANDLIN6 UNITS <br /> _ ..�._ . <br /> BATHTUB .______ FORCED AIR SYSTEM5 <br /> LAVATORY(WASH BASIN) ___ MEAT PUMP <br /> SHOWER __Y_ UNIT HEATERS <br /> KITGHEN SINK 6 DISPOSAL __� CLOTFiE3 DRYER <br /> � DISHWASNER __ RANGE HOoD <br /> LAUNDRY TRAY ,__�r WATER HEATER <br /> CIOTHES WASHER ______ METAL FIREPLACE/510VE <br /> ^ URINAL ___^_ FIREPIACE INSERT <br /> DRINKIN6 FOUNTAIN .____._,_ GAS FIREPLACE <br /> FLOOR DRA�N _ GAS RANGE <br /> BACKFLOW PRNlNTBR ___ GAS PIPING <br /> SINK (SRRViC61S�IMOPIETC�) ,____ EXNAUST FAN <br /> � OTHER _______ OTHER_,_ __�____ <br /> ._�-- _._� ---- — ------------- <br /> 1 HEREBY CERTIFY TFtAT I NAVE READ AND EXAMINED TMtS APLICATION M1D HNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO LVINT WHEiHER SPECIFiE�MEREi <br /> OR NOT,THE 6RAN71NG OF A PERMIT DOES NOT PRESUME TO 6NE AUTH(�RITY TO VIOW'�OR CANCEI THE PROVISION OF A\V <br /> BY TXE OW ER OFOTH SLPROPERTY TO PERFORM THE WORK FOR WX CRH APPt_ICATION IS�kWDE AND I COMPLY WITH THE 3TATED <br /> CONTRAC70R5 LAW 18.27 RCW AND 298.900 WAC. <br /> Sign�luro ot OwnedContnetorlAuthcri:�d Apanl � '.�- D�t� <br /> �:_ �_ ��:�:r ' OUOJ20UG <br /> w m� <br />