Laserfiche WebLink
From: 1p/?n/2006 13:31 p561 P.003/003 <br />,�- PERMIT APPLICATION �o�so -06 <br />���:� CITY OF EVERETT PERMIT SERVICES �'Iobio--a�Z <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />1030U6 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />G70S �VETMORL' AVG, 6V6RLTT, �VA 98203 00531600002400 <br />tiluul[ t I� <br />LEGAL LOT NO. BLOCK ITRACT <br />DE <br />OWNER AODRESS PHONE <br />�7F-.STAS, FI.OYD & DIANA G708 �'VBTMORI: AVG <br />• HVGRH'I'T, WA 982C3 (425)355-0320 <br />TENANTNAME CONTACTNAME PHONE <br />PAMGLA HILI. 425 R14-3124 x133 <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />I'AST\VATGRHHATERCOMPANY 12G01132NDAVENI FASTN'WH948BC <br />(425)814-3124 KIIiKI,AND, WA 98034 O1/03/2008 <br />PROPOSED USE OF BUILDING Bul101np � M�Chanlc� qddltlon HeAT SouRCE <br />PEHMIT Combin�tlon Plumbinp W�RK AlluaUon Fle�tric <br />TYPE Oemalillon Slpn TYPE Nsw as <br />Rs atrlMalnt her <br />CONTRACT PRICE OF WORK �qq9.00 CI7Y OF EVERETT LOCAL SALES TAX CODEIS 3�05 <br />WORK DESCRIPTION Kemove/ReplaceGas Waterlleater <br />PLUMBING MECHANICAL <br />TYPE OF F TU OR ITE N(? OF IXTURE OR tTEM <br />WATER CLOSET ______ q/C•A/HANDLINO UNITS <br />___ ___ BATHTUB FORCED AIR SYSTEMS <br />_______ LAVATORY (WASF{ BASIN) _� HEAT PUMP <br />______ SHOWER UNI7 HEATERS <br />______ KITCHEN SINK 8 DISPOSAL _ CLOTHES DRYER <br />___,_ D�SHWASHER __� RANGE.HOOD <br />_______ LAUNORY TRAY _ ,1 WATER HEATER <br />____ CLOTHES WASHER METAL FIREPLqCEISTOVE <br />____ URINAL - FIREPLACE INSERT <br />_�__ ORINKING FOUNTAIN � GAS FIREPLACE <br />_____ FLOOR DP.AIN GAS RAN6E <br />_____ BACKFLOW PREVENTBR � GAS PIPING <br />______ SINK (SERVICE/BAR/MOP/ETC.) EXHAU57 fAN <br />_ ___ OTHER____ -- <br />— _ OTHER______ _ <br />I HEREfiY CERTIFY TIiAT I HAVE RL�D AND EXAMINEO 7HIS �PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL ` <br />PROVISIONS OF LAWS AND ORDINANCES GOV[f2NING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETIIER SPECIFI[D HEREI <br />OR N07. THE GRANT7NG OF q pERMIT DOES NOT PRESUh1E TO GIVE �UTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANY <br />OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED <br />BY THE OWNER UF TNIS PROPERTY TO PERFORM TME WORK FOR WHICH APPUCATION IS MAOE AND 1 COMPLV WITH TME STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />Signature of OwnudContractor/Authorized Agnni �;:.�_ �;�Y G;,�„� Date <br />10/30200G <br />ui .ai <br />