Laserfiche WebLink
From: � 11/19/�008 17:82 A810 P.003/003 <br /> PERMIT APPLlCATION 422505 <br /> ����� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 42G-9 ;7-8810 <br /> 425-257-8857 FAX � a{7-O� <br /> SITE ADDRE33 PARCEL TAX I.D.# PERMITtt <br /> 215 SKYLINE DR,EVERETT,WA 98201 00520300002700 � <br /> �i - <br /> LEGAL LOT NO. BLOCK ITRACT <br /> OWNER ADDRES8 PHONE <br /> POMPEY,QUINCY ��5 SKYLINE DR (206)310-2244 <br /> • EVL•RL'"CP,WA 98201 <br /> TENANTNAME CONTACTNAME PHONE <br /> Carol Randall 800-454-8955 x �33 <br /> CONTRACTOR ADDRESS CONTR.LICENSEiF <br /> FAST WATGR HEATER COMPANY 1260I 132ND AVE NE <br /> FASTWWH948DC <br /> 800-054-8955 KiRKLAND,WA 98034 OI/04/2010 <br /> PROPOSED USE OF BUILDING euua��o t�cnanio■ Addltlon H AT S4URCE <br /> PERMIT Combin�tlon PIum6ing W�RK N{�npon EI�etAe <br /> TYPE D�moli�ian Slyn TYPE New as <br /> R� alrlMalnl ther <br /> CONTRACT PRICE OF WORK �349.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Rcmove/Replace Electric Water Heuter <br /> PLUMBING �HANICAI <br /> OF U I TYPE OF TU R ITEM <br /> __.___ WATER CLOSET __ q/C-A/HANDLING UNITS <br /> ____ BATHTUB � FORCED AIR SYSTEMS <br /> _____ LAVATORY (WASH BASIN) HEAT pUMP <br /> � SHOWER UNIT HEATERS <br /> __�_ KITCHEN SINK 3 DISPOSAL CLOTFIE3 DRYER <br /> ___�_ DISHWASHER RMNGE HOOD <br /> �� LAUNDRY YRAY _ 1 WATER HEATER <br /> ___ CLOTkES WASHER METAL FIREPLACEISTOVE <br /> _ URINAL � FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN pAS FIREALACE <br /> ___ FLOOR DRAIN GAS RANGE <br /> ____ BACKFLOW PREVENTER GAS PIPINO <br /> ___ SINK (SERVICE/BAR/MOPlETC.) EXHAUST FAN <br /> �__ OTHER_,_ OTHER�� <br /> I HEREBY CERTiFY THAT I HAVE READ AND EXAAlINEO THIS APL�CATION AND KNOW TI1E SAME TO BE TRUE AND CORREC7.ALL ^ <br /> PROVISIONS OF LAWS A4D ORDINANCES GOVEItNING THIS TYPE OF WORK WILI BE COMPLIEO WIHT WHETHER SPECIFIED MEREI <br /> OR NOT,THE ORANTING OF A PERMIT DOES NOT PRESUME TO aNE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CON8TRUCTION OR TNF PERFORMANCE OF CONSTRUCTION,THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WIIICHAPFLICATION 13 MADE AND I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 2�J6.200 WAC. . <br /> Slgnaturo of Ownet/ControetorfAuthorizod Apen1 <br /> �,�Sb�7Lc�,.,,,(tiQp Date �UI9/2008 <br /> � . / <br /> u�ni <br />