Laserfiche WebLink
From: 0711�!2011 11 :24 �791 P.002/003 <br /> ( <br /> PERMIT APPLICATION 547353 <br /> �~� <br /> CITY OF EVERETT PERMIT SERVICES <br /> .._ 3200 CEDAR STREET, EVERETT, WA 98201 , 425-257-8£i10 <br /> 425-257-8857 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1212 L' MA3tINE V1LW DIL, L•VGRL•TT, 1l'A 98201 004387230004U3 <br /> LEGAL LOT NO. BIOCK ITRACT <br /> E <br /> OWNER ADDRESS PHONE <br /> iz�z e MniziNe vir;w��t <br /> ODONAINL',APRIL&JAMIL' , rVL'ItE'1'7', NA 95201 (20G)465•G1G2 <br /> TENANTNAME CONTACTNAME PHONE <br /> 1ie C:as '�` 425-636-70$�-� <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PASTWA"I7iR1II:A"17:RCUMPANY 12ti01132NDAVGNI3 ppSTW�VIl9480C <br /> KIRKLAND, \VA 98034 01l04/2012 <br /> 425•63G70g� <br /> PROPOSED USE OF BUILDING euuatno - M.enanroe Addillon HEAT SOURCE <br /> PERMIT Com�inatfon Plumbinp WORK q�teratlon Elettric <br /> Residential n'pE Demolilion Siyn TYPE New as <br /> r Re aidMalnt ther <br /> CONTRACT PRICE OF WORK � CITY OF EVERETT LOCAL SAIES TAX CODEIS 3'105 <br /> WORK DE-SCRIPTION ni�noae/Rcplace Gas Nater lieater <br /> PLUMBING MECHANIC�A_L <br /> NO. TYAE OF FIXTURE OR ITEM ND. TYPE OF FIXTURE OR ITEM <br /> �_ WATER CLOSET _,�__ A/C-A/HANOLING UNITS <br /> ___ BATHTUB _�,_ FORCED AIR SYSTEMS <br /> _____ LAVATORY (WASH BASIN) ___ HEAT PUMP <br /> ____ SHOWER ___ UNIT HEATERS <br /> ___ KI'fCHEN SINK & DISPOSAL �____ CLOTHES DRYER <br /> _�_ OISHWASHER __ _ RANGE HOOD <br /> ____ LAUNDRY TRAY _ � _ WATER HEATER <br /> ___ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> � URINAL ___ FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN _,_ GAS FIREPLACE <br /> FLOOR DRAIN GAS F2ANGE <br /> ___ BACKFLOW PREVENTER _� GAS PIPING <br /> _� SINK (SERVICE/BAR/MOPfETC.) _,� EXHAUST FAN <br /> ----- OTHER --- OTHER—�------------�--- <br /> I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED TH1S APLICATION AND KNOW Ttt[SAME TO BE THUE AND CORRECT.AIL <br /> PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPl1ED WIHT WHETHER SPECIF�ED HEREI <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLA7E OR CANCEL THE PROVISION OF ANY �� <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT�AM AUTHORI2ED <br /> BY THE OWNE�2 OF THIS PROPERTY TO PERFORM THE WORK FOR WHICHl�PPLICATION IS AfAOE AND I COMPLY WITH TME STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.20D WAC. <br /> Signalurc of OwnorlContractorlAuthorized Agont �� Data Q_�13��Q�� <br /> u�aRi <br />