Laserfiche WebLink
,��- R�=RMIT APPLICAT� )N <br /> ���� CITY OF EVERETT PERMIT SERVICES <br /> .._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> CK2336 <br /> SITE A�DRESS PARCEL TAX I.D.�F PERMIT# <br /> 307 SKYI_IVE DR,EVERGTT,WA 98201 00520300005400 MoSos_ 03 � <br /> LEGAL LOT NO. BLOCK TRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> l3kOWN,FRfD 307 SKYLINE UR (425)252-4043 <br /> • GVERETT,WA 98201 <br /> TENANT N.4ME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-31?4 xI33 <br /> CONTRACTOR ADDRESS CONTR.LICENSE�f <br /> I'AST WATHR HEATf:R COMPANY 12601 I32ND AVCNE FASTWHC052DP <br /> KIRKLAND,WA 98034 02/16/200? <br /> (425)814-3124 <br /> PROPOSEO USE OF BUILDING Buildinp M�eA�nlca WQRK Addllion H AT SOURCE <br /> PERMIT Comhinatlon Plumbinp NIN�Bon I�ctric <br /> rrPe o«,�anuo� s�o� rrPe H.�, .� <br /> R� �IrIMNnt her <br /> CONTRACT PRICE OF WORK �349.00 CITY OF EVERETT LOCAL SALES TAl(CODEIS 3105 <br /> WORK DESCRIPTION Removc/Rcplacc Blectric Warer Heater <br /> U BI MECHANICAL <br /> O. OF F TU O ITEM OF XTU R ITEM <br /> WATER CLOSET ______ AIC•A/HANOLING UNITS <br /> BATHTUB _____ FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> ------- _'__ <br /> SHOWER ___ UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL ______ CLOTHES DRYCR <br /> DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY __�__ WATER HEATER <br /> CLOTHES WASHER _� METAL FIREPLACE/STOVE <br /> � URINAL _�_ FIREPLACE INSERT <br /> � DRIN�ING FOUNTAIN _ 6AS FIREPLACE <br /> V FLOOR DRAIN _� GAS RAN(3E <br /> BACKFLOW PREVENTER __ GAS PIPING <br /> �_�_ <br /> SINK (SERVICEiaAR/MOP/ETC.) ___ EXHAUST FAN <br /> OTHER --- OTHER---- ---------------- <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROV�.;IONS OF LAWS AND ORDINANCES GOVERNING'HIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED NEREI <br /> OR NOI.TFiE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERIY TO PERFORM THE WORK fOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br /> CONTRACTORS LAW 1B.27 RCW AND 296.200 WAC. <br /> Signature of OwnedContractoHAuthorfzed AyeM ��-� -�� � j"� / Dab OS/12/Z�OS <br /> u�.m <br />