Laserfiche WebLink
Sent By: HP LaserJet 3100� <br /> 425B24g576; ldar-37 •Cfi 17 :77AM; Pa e 8/7 <br /> i 9 <br /> PEkMIT APPLICATI4N <br /> ���� CIIY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE�T, EVERETT, lyq g8201, 425-257-8810 <br /> SITE ADORESS _ D3��c� <br /> PARCEL TiU(I.D.« PERAAIT/ <br /> AU18 MF.RIUTAN AVE,L�VEREi'I',A'A 982q3 0039)500001"U4 <br /> lE(iAL LOT NO. OIOCK �`" �� ��' <br /> TRACT <br /> OWNER ADDRE38 <br /> s�tirH,nnvnu 8018 MLRIn1AT:AVf: PHONE <br /> • EVGRE•7"►', N'A 98203 (42�)3.55-6H74 <br /> TENANT NAME CONTACT NAME — — <br /> PAMELA IIILL PNONE <br /> CONTRAGTOR nzs 6�4•31).4.133 <br /> ADDRESS CdNTR.LICENSBi <br /> FnstWATEKF{FnTEltr_pMNANY 12G0� 132NDpvLNE <br /> KIRKLAND,Wq yg034 FAS7'WWH94RHC <br /> (425)814•?124 01/07/200R <br /> PROPOSED USE OF BUILDING ��+�a��a M„an.nio, ,aa���,� <br /> �FRMIT �omp�mno� pf���o WORK N��tl� M�1T80URCE <br /> TYPE OwnoNliun s�M TyPi N� LJcMctnc <br /> u <br /> CONTRA6T PRIC! Of WOfiK s;�y.pp W uNMNm e, <br /> CITY OF EYERETT LOCAL 8ALE5 TAI(CODi15 3105 <br /> WORK OE9CRIPTlON <br /> Rcmove/RcplaceElechic WaterHcamr <br /> UM IAECMANIGAL <br /> Of ITE 1 P OF 1(T <br /> ____ WATlR CL03ET M <br /> .-__ BATM7UB ----- aC-�ANDLIN6 UNITS <br /> - ____ LAVATORY(WASH BASIN) ----- FORCED AIR SY6?EM6 <br /> _ SHOWER ----- HEAT PUMP <br /> _ KITGHEN bINK i DISpOSAL ---- UNIT MEATERS <br /> .� DISNWASHER --- ���TKEa ORYER <br /> __. ____ LAUNDRY TRAY - �NGE MOOD <br /> �__ CLOTHES WASMER —�-_ WATER MEAT[R <br /> —,_ URINAL ----- METAI FIREPUCEISTOVE <br /> _ DRINKING fOUNTAIN ---- FIREPLACE INEERT <br /> FIOOR DRAIN --_ OAS FIREPLAC6 <br /> _____ sACKfLOW pREVlNTER --- aA5 RANGE <br /> �_ lINK (SERVICElBAR/Mpp/ET�,) ---- - GAS �IpINO <br /> _____ OTFiER_.r�,�__ --- EXHAUSTfAN <br /> _�_ OTNER <br /> — - _—.—, ��--�_" ---- - Y�_�______--- <br /> I HEREBY CER71Fr THqT i NAVE READ AND EIUMINED hIISAF�ICATION A��KNOW THE SAME TO BE TRUE AND CORRECT.ALl r <br /> PROVISIONS OF LAWS AND ORDINANCES G9vERNiNG THIS TYPE OF WOP.K WILL BE COMPLIED WIMT WHETH[R SPEGFiED NEREI <br /> Oa N07 7ME cRANTINQ OF A PERMI7 DOES NOT PqESUME TO GNE AUTN�RITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCaL uw REOu�nfiHG COniStRUCnON OR TME�+FR�'ORMANCE OF CONSTRUCTION.TtAT IAM AUTHORIIE� <br /> EY TNE OWN[R OF THIS PROPERTV TO PERFORM THE WORK fOR WHICN�pp�IGATION IS M�pE AND I COM7LY WRM TNE STATE <br /> CONTr'tACT0115 LAW 18.47 RCW AN�296.200 WAC. <br /> Sfgn�turo of Own�r/Controetor/Aufhorized Ap�N �,,,.:; .;� �: ' D�t� <br /> "� ` `� � 03,31/200G <br /> ui n� <br />