Laserfiche WebLink
Pr"RMIT APPLICATIL N <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK1710 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMiT# <br /> 1928 LOME3ARD r1VC, 6V8RETT, WA 98201 0043793820I900 /'/ J� <br /> �f <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> PRANKLIN, RAY �928 LOMBARD AVG <br /> • HVERGTT,WA 98201 (425)339-12R7 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMBLA FIILL 425 8 W-3124 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST WATGR HEATGR COMPANY 12601 132ND AVE NE <br /> FAST W IiC052DP <br /> (425)8I4-3124 KIRKLAND, WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING am�dinp htachan�ca Addition HEAT SOURCE <br /> PERMIT Combination Plumbing WORK q��antle� �Electric <br /> TYPE Damolition Slgn T�'PE New as <br /> r r Re airlMalnl ther <br /> CONTRACT PRICE OF WORK $349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRiPTION Remove/Replace Blectric Water Heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> ______ WATER CLOSET ______ AIC-AIHANDLING UNITS <br /> _____ BATHTUB ______ FORCED AIR SYSTEMS <br /> _______ WVATORY (WASH BASIN) ____ HEAT PUMP <br /> ______ SHOWER =_= UNIT HEATERS I <br /> _____ KITCHEN SINK 8 DISPOSAL CLOTHES DRYER <br /> I ______ DISHWASHER __ RANGE HOOD <br /> _____ LAUNDRYTRAY __�__ WATER HEATER <br /> I _�_ CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> _ _ URINAL _�_ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN ___ GAS FIREPLA.CE <br /> _ FLOOR DRAIN _ GAS RANGE <br /> _____ BACKFLOW PREVENTER __ GAS PIpING <br /> ____ SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAL�ST fAN <br /> ____ OTHER OTHER______ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF WORK WILI BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORIN TO VIOLATE OR CANCEL THE PROVISION OF A�Y <br /> OThiER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR'ZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFOR�?THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC�. <br /> Signature ot OwnedContractor/Authorir.ed Ageni �,. _. �,. �v,�•�_ �. Date ���03/2004 <br /> uiom <br />