Laserfiche WebLink
Sent By: HP LaserJet 3100; 4258249516; Nov-16-n5 9:16A1.9; Paae 2/3 <br /> �- PERMET APPLI�ATION <br /> CITY OF EVERETT PERMIT SERWICES <br /> .._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> . liieo5 <br /> SITE AD6RESS PARGEL T/U(I.D.# PERMITiC <br /> �519 LOMBAItD AVE, GVF.RL'TT, WA 98201 00553631701;600 w1 ��I �1"a— <br /> LEGAL LOT NQ. �LOCK � TRACT <br /> OWNER AQDRESS �^ PHONE <br /> PRINCL,h1GLVIN(CONFIRMED) �519 LOMOAItA AV� (a25)763•0848 <br /> • EVERF"i I',WA 98201 <br /> TENANT NAME �ONTACT NAME PHONE <br /> � PAMGLAHlLL az, sin-ai�a �.i3l <br /> CONTRACTOR A�DRESS CONTR.LICENSEti <br /> PAST WATLR HEATEft COMPANY 12(O1 132ND AVC NE l�ASTWHC052Df <br /> (q25)814•3124 <br /> KIRKLANi�,WA 9803 I 02/1612UU7 <br /> PROPOSED USE OF BUILDING su�Id�np 1A�ch�nloa WORK Addition HEA7 SOURCE <br /> PERMIT Cortt01M110n PlumDing IVl�ntlon Eleclric <br /> TYPE Osmolitlon :ilpn TYPE New G�a <br /> r R� slr(ly��iql t�er <br /> CONTRACT PRICE OF WOttN $449AQ CITY OF EV�RETT LO�AL SALES TAX CODEIS 3105 <br /> WORK DESCkIPTION Kemovc/Replace Gas Water Heater <br /> UM MECHANIC�L <br /> N0. � TYP OF IXTURE ITE!.� N0. 7YPE OF F XTUR OR IT M <br /> __ WATER CLOSET _�___ A1C�NHANDLING UNITS <br /> _� BAT4TU8 ______ F�RCED AIR SYSTEMS <br /> ____ LAVATORY(WASH BASIN) ,_�_ HEAT PUMP <br /> ^ SHpWER �____ uN17 HEATERS <br /> ._ KITCHEN 61NK 8 DISP7SAL _,_ CLOTHE3 DRYER <br /> __ OISHWASMER __ _ RANGE NOOp <br /> �_ LAUN�RY TRAY __ ��_ WATFR HEATER <br /> �,_ CLOTIiES WASHER ___ METAL FIREPLACEISTOVE <br /> ___ URINAL FIREPLACE INSERT <br /> _ ORINKING FUUNTAIM !�_ GAS FIREPLACE � <br /> FLOOR DRAIN _ GAS RANGE <br /> _`_ BACKFLAW PREVENTER �_� GAS PIPING <br /> _� 31NK (SERVICFJBAR/MOAlETC.) _�_ C•XHAUST FAN <br /> --�_ OTHER.._ _�_ OTHBR-„-------------.. <br /> I NEREBY CERTIFY TW+T I HAVE REAO nND FXAMINED THIS APLICATION:.N�KNOW THE SAME TO BE TRl1E AMD CORRECT.ALL <br /> PROViSIONS JK�AWS ANO ORDINANCES GOVERNING7hiIS TVPE OF WC�RK WILL BE COMPLIED WIHT WME7HER SPECIFIED MEREI <br /> OR NOT,THE GRANTING OF A vERMIT DOES NOT PRESUME TO GIVE P.UiHORITY 70 VIOLATE OR CANCEL THE PROVISION OF ANv <br /> ptnER STA7E OR LOCAL LP.W REGULnYING CONSTRUCTION OR THE PE�3FORMANCE OF GONSTRUCTION.IHAT IAM AUTHORIZED <br /> 6Y TME OWNER OF THIS PROPERTY TO PERFORM'RiE WORK FOR WHI("H APPLIGATION IS MAOE ANp!COMPLY WITH 1HE STATE <br /> CPNTRACTG25 LAW 18.Y7 RCW ANO Z98.200 WAG. <br /> Sl�netcro o(W+nerlContraetorfAuthorized Ageni ,�;: �.,,,- ,�::..�. �, , Date �1J16;,��5 <br /> U�NI <br />