Laserfiche WebLink
� <br /> O1 (^F12012 10:24 �1019 P.0031004 <br /> From: � i <br /> PERMIT APPLICATION 569846 <br /> �1��� CITY OF EVERETT PERMIT SERVICES <br /> ` 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SITE A��RESS PARCEL TAX I.D.# PERMI7# <br /> 8332 UPPER RIDGE RD IiB,GVLR&7'T,WA 982�3 � I�, b 1- p � S <br /> LEGAL LOT NO. BLOCK ITRACT <br /> OWNER ADDRESS PHONE <br /> FLORE"CPA,DAVID �3� U�? � �`d e�'���� (20G)550-9943 <br /> �le.f��i� w ��20� <br /> TENANT NAME CONTACT NAME PHONE <br /> �S 425-636-703� <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> rA5'f WATERIiBATERCOMPANY I2G01132NDA\'ENE ppSTWWH94813C <br /> KIRKLAND, WA 9803J 1 I � I ��'�" <br /> 425-636-70Syy' <br /> Buildinp M�chanlc� Addllion H AT SOURCE <br /> PROPCSED USE OF BUILDING PERMir Comb�natlon Plumbing wORK tuc�rauon E�ectrfa <br /> Res dential TYpE D.mollUon Slyn TYPE Naw �s <br /> R� airlMalnt lher <br /> CON7RACT PRICE OF WORK �� �=j, — CITY OF EVERETT LOCAL SALES TAX CODEIS 3�05 <br /> WORK DESCRIPTION Kemovc/Iteploce Gas WatcrHcatcr <br /> PLUMBING MECHANICAL <br /> TV E OF FIXTU I M N�' q�C�A1HANOLING UN TS EM <br /> ______ WATER CLOSET <br /> BATHTUB ____ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SF.�:�YER ___ UNIT HEATERS <br /> KI'i'�HEN SINK 8 DISPOSAL _�_ CLpTH:3S DRYER <br /> DISHWASHER __ _ RANGE HOOD <br /> � LAUNORY TRAY _�_ WATER HEATER <br /> CLOTHES WASHER __ METAL FIREPLACFJSTOVE <br /> URINAL _�_ FIREPLACE iNSERT <br /> DRINKING FOUNTAIN _ OAS FIREPIACE <br /> FLOOR DRAIN __._ GAS RANGE <br /> BACKFLOW PREVENTER __ GAS PIPING <br /> V SINK (SERVICEIBAR/MOPIETC.) _.__ EXHAUST FAN <br /> ---^- OTHER_ _�_ OTHER---,---��--_--� <br /> �HEREBY CERTIFY TFiNT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT.ALL <br /> F�OVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETHER 5PECiF1ED HEREI <br /> NOT.THE GRl�NT1NG OF A?ERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISION OF ANY <br /> :!ER STATe OR IOCAL lAW REGUUiTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TNAT t AAIAUTHORIZEO <br /> � � HE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITM TNE STATE <br /> � � NTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> I <br /> Slgnaturu o( OwnodContractor/Authorized Agont �� Dato Ol/06/2012 <br /> ui_wi <br />