Laserfiche WebLink
iron: t0li>> 12070 7�:37 �370 P.002/002 <br /> PERMIT p�PLICATIOI� 5°9°53 <br /> CiTY OF EVEiRETT PERMIT SERVIC�S <br /> � 3200 CEDAR STREET, EVERFTT, WA 98201, 425-257-8810 I, <br /> 425-257-8857 FAX f0 —/ —�(/ <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 607 I:INGS PL, EV6RETT, WA 98203 ' <br /> � Y� � �J � lJ -- (J..� <br /> LEGAL LOT NO. BLOCK 'fRACT <br /> E <br /> OWNER AD�RESS PHONE <br /> PIiTRIG.GIiOKGL 607 F:INGS 1'L <br /> • evrki:rr, R'A 95203 (�1?5)252-5G27 <br /> TENANT NAME CONTACT NAME PHONE <br /> CarolRandall 425-636-7054 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAS7'\UA'1'ER HEA'1'lR COMPANV 12601 132ND AVE NG FAS7'WR'H94S6C <br /> 425-G36-7054 h�RI:LANG, WA 9R034 Q����q�,Q�Z <br /> PROPOSED USE OF BUILDING ew�dinp M�chanlca Addillon H T SOURCE <br /> PERMIT Com6lnaf{on " Plurnhiny WORK ,q�teraUon ElectNc <br /> R25idential TypE D�molltion 81gn T�'PE New ac <br /> nkl Re alrlAlalnt fher <br /> CONTRACT PRICE OF WORK CITY OF EVERETT LOCAL SALES�AX CODEIS 3105 <br /> WURK UESCRIPTION <br /> RcmovdRcplacc Blcclric \Vatcr Hcatcr <br /> pLUM81NG MECHANICAL <br /> NO. i TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _____ WATER �CLOSET _____ q�C-A/HANDLING UNITS <br /> _____.__ BATHTUB .__ FORCEO AIR SYSTEMS <br /> _____ LAVATORY (WASFI �ASIN) ___ HEAT PUMP <br /> ___ SHOWER _,_ UNIT HEATERS <br /> ____ KITCHEN SINK 8 DISPOSAL _, CL07HE5 DRYER <br /> ____ DISkWASHER _ RANGE HOOD <br /> _____ LAUNDRY TRAY � WATER HEATER <br /> ____ CLOTHES WASHER ___ METAL FIREPLACE/STOVE <br /> ______ UR:NAL _,_ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN GAS FIREPLACE <br /> __._ FLOOR DRAIN " GAS RANGE <br /> ______ BACKFLOW PREVENTER GAS PIPING <br /> ____ SINK (SERVICE/BAR/MOP/E7C.J � ExHAUST PAN <br /> _ __ <br /> _�_ OTHER�_�___ _ _�_ OTHER____ <br /> 1 HEREBY CERTIFY THAT 1 HA`JE R[AD AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL ^ <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS NPE OF WORK WILL DE COMPUED N'IHT WHETH[R SPEGFI[D HEREI <br /> OR NOT.THE GRANTING OF A PERMIT DOES N07 PRESUME TO GN[l�UTHORITY TO VIOLAT[OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL IAW REGULATING G�NSTRUCTION OR THE PERFORMAtJCE OF CONSTRUCT'ION.THAT 1 AM AUTHORIZED <br /> BY TNE OWNER OF THIS PROPF.RTY TO PERFORM 7HE WORK FOR WHlCIi APPLICATION IS MAOE AND i COMP�Y WIT!?Th1E STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 29820D WAC. <br /> Signeturo of OwnodCantractor/Authorizotl Aeont �y�����,���P Uate <br /> 10/UI/2010 <br /> UI}/ll <br />