Laserfiche WebLink
From: 04J04�?U07 13:05 A479 P.004/006 <br />( r <br />PERMI�f APPLICATION 364294 <br />��r�' CITY OF EVERETT PERIViIT SERVICES <br />..._ 3200 CEDAR STREET, EVERETT, VVA 98201, 425-257-8810 �� �_�� <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />G711 LOWLR R]DG� RD, EVERETT, WA 98203 00477700001806 <br />M61o� - , <br />LEGAL LOT NO. BLOCK TRACT <br />OWNER ADDRESS PHONE <br />HLSSLBR, ROY 6711 LOMEIt RIDGE RD (425)220-9614 <br />• EVEItETT, WA 98203 <br />TENANTNAME CONTACTNAME PHONE <br />PamelaHill 800 454-6955x133 <br />CONTRACTOR ADDRESS CQNTR.LICENSE# <br />PAS'f WATGR HEATGR COMPANY 12601 132ND AVE NE <br />FASTW WH948BC <br />(425)814-3124 KIRKLAND, WA 98034 O1/03/2008 <br />PROPOSED USE OF BUILDING eul�d�np M�ehanica AddlUon H T SouRCE <br />PERMIT Combination Plumbing WORK /��entlon Elecirtc <br />TYPE Oamolllion Slgn TYPE New as <br />S Re aIrlMainl the� <br />CaNTRACT PRICE OF WORK $449.00 CITY OF EVERETT �.00AL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace Gas Wa�er Heater <br />PLUMBING MECHANICAL � <br />NO. E OF I XTU TE NO. . T PE OF FI%TURE R ITEM <br />_:____ WATER CLOSET �____ FJC-A/HANDLIN6 UNITS <br />_____ 9ATHTUB _�_ FORCED AIR SYSTEMS <br />_� LAVATORY (WASH BASIN) HEAT PUMP <br />____ sHOWER UNIT HEA7ERS <br />____ KIS'CHEN SINK & DISPOSAL _ CLOTHES DRYER <br />__�_ 371SHWASHER RANGE HOOD <br />_____ LAUNDRY TRAY 1_ WATER HEATER <br />____ CLO"HES WASfiER __ METAL FIREPLACElSTOVE <br />___ URINAL �__ FIREPLACE INSERT <br />_ DRINKING FOUNTAIN GAS FIREPLACE <br />_,_ FLOOR DRAIN GAS RANGE <br />___ BACKFLOW PREVENTER GAS PIPING <br />____ SINK (SERVICE/BAR/MOPIETC.) ��, EXHAUST rAN <br />--�- OTHER _�_ OTHER-----.---------�- <br />1 HEREBY CERTIFY THI1T I HAVE READ AND EXAM1IINED THISAPLICATION AN� KNOW THE SAME TO BE TRUE AND CORREC7'. ALL <br />PROVISIONS OF LAWS ANO OR�IMANCES GOVERNING THIS TYpE OF WORK WILL BE COM?LIED WIHT WHETHER SPECIFIEO HEREI <br />OR NOT. THE GW1N11Na OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOPoTY TO VIOLATE OR CANCEL TH� NRO'JISION OF ANY <br />OTHER STA1E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFURMANCE OF CONSTRUCTION. THAT IAM AUTIiOR'ZED <br />BY TNE OWNER OF 7HI5 PROPERTY TO PERFORM TNE WORK fOR WIiICHAPPLICATION IS MA�E AND I COMPLY WIThI THE STATE <br />CONTRACTORS LAN� 18.27 RCW AND 296.200 WAC. <br />Signature of OwnedContrectoNAuthorized Ageni �> '"' Date <br />�~� =�C �' 04/04/2007 <br />p�pn� <br />- . . . M�� ���� <br />