Laserfiche WebLink
�rom: 09/05/2006 05:54 q416 P.003/L`05 <br /> PERMIT APPLICATION � <br /> �1y�� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 09056 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMif# <br /> 3G02 UPLANll AVE,EVERETT,WA 98203 00433b00005801 �� l� �� <br /> �� <br /> LEGAL LOT NO. BLOCK TRACT <br /> E <br /> OWNER ADDRESS PHONE <br /> i3ARNER,LARRY 3G02 UPLAND AVE <br /> • L•VEItETT,\VA 98203 (�12t)348-9448 <br /> TENANTNAME . CONTACTNAME PHONE <br /> PANILLA N1LL 425 814-3124 x133 <br /> GONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST WATLR IiEATER COMPANY 12G07 132ND AV8 NE <br /> �ASTN'NH948BC <br /> (425)814-3124 KIRKLAND,WA 98074 Ol/03/2008 <br /> PROPOSED USE OF BUlLDING Bulld(np M�chanlea WQRK Aee�tlon H T SOURCE <br /> PERMIT Combinelbn Plumbinp NtoraBon Eleelric <br /> TYPE Dcmolitlon Sipn IYPE pyN, a� <br /> Rs �IrRdalnl <br /> CONTRACT PRICE OF WORK $9q9.00 CITY OF EVERETT LOCAL SALES TAl(CODEIS 3705 <br /> WORK DESCRIPTION �temo�c�teplacc Electric\Vnter Hcatcr <br /> PLUMBING �ECHANICAL <br /> P OF F TU I E OF XTUR OR ITE <br /> ___ WATER CLOSET _�__ A/C•AlHANDLINO UNITS <br /> _____ BATHTU6 �_ FORCED AIR SYSTEMS <br /> _� LAVATORY(WASH BASIN) HEAT FUMP <br /> ___ SHOWER _ UNIT HEATERS <br /> _�_ KITCHEN SINK 6 DISpOSAL CLOTHES DRYER <br /> __�_ DISHWASHER _ _ RANGE HOOD <br /> _�_ LAUNDRY TRAY �__ WATER HEATER <br /> _�_ CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> _ URINAL ____ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN _� (3AS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> _�__ BACKFLOW PREVENTER __ GAS PtPING <br /> � S�NK (9ERVICE/BAR/AtOPfETC.) ___ EXHAUST FAN <br /> ___ OTHER _ OTHER______� <br /> 1 HEREBY CERTIfY THhT I HAVE RFAD AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.q1.L <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OP WnRK WILL BE COMPLIED WIHT WHETMER SPECIFIED HEREI <br /> OR NOT.TH[GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL tAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THATf AMAUTHORI2ED <br /> BY 7ME OWNER OF THIS pROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MNDE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1B.27 RCW AND 298200 WAC. <br /> Signaturn o(OwnedContractoNAulhorized Agonl �'�� ��,_�_�� Date 09/OS/2006 <br /> ui_rm <br />