Laserfiche WebLink
,�-- f� -RMIT APPLICAT( -�N <br /> �w��� CITY OF EVERETT PERMIT SERVICES <br /> .._ °200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> chz�i� <br /> SITE ADDRESS PARCEL TAX I.D.# PE RMIT# <br /> I6WI�UGI:AIOORI.N, LV6RGl"I', NA 98203 007404000017U0 ,rn������� <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE C <br /> OWNER ADDRESS PHONE <br /> k0'ill\II:.JAhll3S IGid I:DGI:�f00R LN <br /> • GViilil:'I'1', �VA 98203 (���)�•i7-4359 <br /> TENANTNAME CONTACTNAME PHONE <br /> rnhu�i.ntni.� .ia; si�-_;i�.� .i�; <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> I :1S1'\VATLR IIGA'fGR COMPANY 12G01 132ND AVG NG <br /> i'ASl 1\'1IC052DI' <br /> (425)Sld-312�1 �+IRKLAND, WA 9803d 02/16/?007 <br /> PROPOSED USE OF BUILDING euildinp - Meehanica Addition HEAT SOURCE <br /> PERMIT Com6lnatfon PIum6ing WORK , q�teretion QElectric <br /> TYpE Demolilion Slgn TYPE New as <br /> S r k r Re aldMaint �h�� <br /> CONTRACT PRICE OF WORK Sa49.�70 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Itcmovc/Raplaec Gas W.11cr I Icaler <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET ______ A/C-A/HANDLING UNITS <br /> _______ BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY (WASH 9ASIN) ' <br /> ------- HEAT PUMP <br /> ______ SHOWER __ UNIT HEATERS <br /> _____ KITCHEN SINK 8 OISPOSAL ____ CLOTHES DRYER <br /> ______ DISNWASHER RANGE HOOD <br /> _______ LAUNDRY TRAY � � WATER HEATER <br /> _____ CLOTHES WASHER METAL FIREPLACEISTOVE <br /> ____ URINAL FIREPLACE INSERT <br /> _____ DP,INKING FOUNTAIN GAS FIREPLACE <br /> ___�_ FLOOR DRAIN GAS RANGE <br /> ______ BACKFLOW pREVENTER � GAS PIPING <br /> ___�_ SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN <br /> _____ OTHER___ --- <br /> ---- OTHER---------------- <br /> 1 HEREBY CERTIFY THAT I HAVE R�AD AND EXAMINED THIS APl.ICATION AND HNOW THE SAME TO BE TRUE AND CQRRECT,qLL <br /> PRCVI:IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR N0�-.THE GRANTING OF A pERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANY <br /> OTN�R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APpLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Signaturc of OwnerlContractorlAuthorized Agem ,- Date <br /> . . � .� `` � i OS/03;3005 <br /> ni aa� <br />