Laserfiche WebLink
�ron: 01/?Q/2008 18:55 �567 P.002/004 <br /> pEt7MIT APPLICATION 3y794 <br /> �i1j?� CITY OF EVERETT PERMIT SERVICES <br /> `� 3200 CEDAR STREET, EVEFtETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FNC /— '�p —O� <br /> SITEADDRE PARCELIAXI.D.# PERMIT# „ <br /> �,,�y,1q , / . <br /> �G�I"7 RlICK6 AV8 Yr4,EV • BTT,\VA 98201 0072710v 100400 �� � ,-j'�-�� �_��1 <br /> LEGAL L NO. BLOCK TRACT <br /> OWNER ADDRESS PHONE <br /> 2G17 RUCKL•.R AVI?84 qZ5 ''S� 5057 <br /> PAIiNL•LL,TI�IELMA • LVBRBTT, WA 98201 � �� � <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-45A-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST\VATER HLA7T.R COMPANY 1260I 132Nll AVE NE FA51'W WH948E3C <br /> I:IRKLAND,1VA 98034 Ol/04/2010 <br /> 800-454-8955 <br /> PROPOSED USE OF BUILDING ew�dmp Meeh�nlea WQRK Addllion H T SOURCE <br /> PERMIT Combinallon Plumbin Alteratlon El�atria <br /> TYPE C�molllion Sipn TYPE N�w as <br /> � � R� alrlMa�nt thar <br /> CONTRACT PRICE OF WORK 5349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Kemove/Replace L'lectric Water Hca�cr <br /> PLUMBING MECHANICAL <br /> TYPE OF 7U ITEM T E OF FI%TUR R ITE <br /> �__ WATER CLOSET _____ A1C-A/HANDLING UNI'f5 <br /> ___ BATHTUB __,___ fORCED A1R SYSTEMS <br /> ____ LAVATORY(YVASH BASIN) ___ MEAT PUMP <br /> __ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK 8 OISPOSAL _ CLOTHES DRYER <br /> __ DISHWASHER _ _ RANGE HOOD <br /> __ LAUNDRY TRAY _�_ WATER HEATER <br /> __ CLOTHES WASHER ___ METAL FIREPLACEISTOVE <br /> _._ URINAL ___ FIREPLACE IN3ERT <br /> DRINKING FOUNTA�N _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPINO <br /> __ SINK (SERVICFJBAR/MOP/ETC.) _�_ EXHAU3T FAN <br /> _ OTHER ___ OTHER_________—____�_� <br /> 1 HEREBY CERTIFY TI-lAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL 6e COMPLIED WIHT WHETHER SP6CIFIED M[REI <br /> OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL V+W REGUTATING COhSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AMAUTHORI2ED <br /> 8Y THE OWNER OF THIS PROPERIY TO PERFORAI THE WORK FOR WHICH.4PPLICATION IS MADE AND I COMPLY WITH T!1E STATE <br /> CONTRACTORS lAW 18.27 RCW AND 29('i.200 WAC. <br /> Signuturo of OwncrlCantroctor/Aulhorized Agnnt �_y�y7��,.,��p 6ate Ol/'�5/2008 <br /> '"_ ' t <br /> u��m <br />