Laserfiche WebLink
PC�RM�T APPLICATIC.N <br /> ��r� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA �8201, 425-257-8810 <br /> CK1377 <br /> SITE ADDRESS PARC�L TAX I,D.� PERMIT� <br /> 206 MEDORA 1VAY,EVERETT,IYA 98201 00396600023000 <br /> May�s-oa3 <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER AODRESS PHONE <br /> PONDS,MAXINB 206�f[T)ORA WAY <br /> • EVERGTT, WA 98201 (425)252-0224 <br /> TENANTNAME CONTACTNAME PHONE <br /> PAMGLA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSEA� <br /> FAST WATGR HEATERCOMPANY 12601 132ND AVE NE <br /> FASTWHC052DF <br /> (425)814-3124 KIRKLAND, VVA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDIh swiaiop M•en.nie. �diG,,, <br /> � PERMI7 Comblmqon Plumb�np WORK N��tl� H T SOURCB <br /> 7YPE D�mWilbn gb� �ypE N� MeMc <br /> aa <br /> CONTRACT ?RICE OF iNORK R� urANalnt er <br /> 5349.00 CITY pF EVERETT LOCAL SALES TN(CODEIS 3105 <br /> WORK DESCRIP710N Rcmovc/Rcplacc Glcctric\Va�cr Hca�cr <br /> PLUMBING �HANICAL <br /> OF F TU ITE OF U R ITE <br /> __,__ WATER CLOSET A!C•AlHANDLINO UNITS <br /> —�__ BATHTUB FORCED AIR SYSTEMS <br /> ----�– LAVATORY(WASH BASIN) —�-- <br /> � SHOWER – HEAT PUMP <br /> —____ KITCIiEN SINK R OISPOSAL --- UNIT MEA7ERS <br /> __ DISHWAsHER ---- C�OTHES DRYER <br /> _____ LAUNDRY TRAY -- �NGE HOOD <br /> � WATER HEATER <br /> ____ CLOTHES WASNER METAL FIREPLACE/STC�VE <br /> _�_ URINAL FIREPLACE INSERT <br /> _�_ DRINKING FOUNTAIN � OAS fIREPLACE <br /> — FLOOR DRAIN GAS FtAN(iE <br /> _____ BACKFLOW pREVENTER GAS PIPINO <br /> __�_ SINK (SERVICE/BAR/MOP/ETC.) EXHAUS7 FAN <br /> -- OTHER --- UTHER_�__�----- <br /> I HEREDY CERTIFY THqT 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 TYPE OF WORK WILL BE COMPLIED WIMT WHEiMER SPECIFIED MEREI <br /> OR NO7.THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GNE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISqN OF ANy <br /> OTHER STATE OR LOCAI LAW REGIIUTING CONSTRUCTION OR TME PERFURMANCE OF CONSTRUCTpN.THATIAMAUTNORIZED <br /> BY THE OWNER Of iHIS PROPERTY TO PERFORM TME WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CON7RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Sipnaturo of Owner/ContrsetorlAuthorized Ayent D�t� <br /> ���-�l�"r–�� 07/27/2004 <br /> UI NI <br />