Laserfiche WebLink
;; :� �; <br /> `,�, '• <br /> ��� �� <br /> SEP-22-�J19 10:50 From:42581q9516 Paee:2�2 k �� ` �y i`xik�"� <br /> � � i�.� •� <br /> I�ERN{1`T APPLICATI4N � �� ��: ��� <br /> �-•, sosiso ' , � <br /> ��i�� CITY OF EVERETT PERMIT SERVICES ` ' " �_° t� <br /> I :� \ ._ .l �� <br /> 3200 CEDAR STREET, EVERETT, WA 96201 , �:. ;-257-8810 � �`;,,`'�-,�,��� <br /> 4_" 'S7-8857 FAX 6 �`��'`�� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# � ' �°� � <br /> ft08 41 PL, EVERETT, WR 9g2p� 00801900000900 �- � 7 i � , +.�'''j}`°' <br /> - I/ J J I, ��_�<< <br /> LEGAL LOT NO. BLOCK rt� _= '� <br /> 'JE TRACT � <br /> S_ X L . <br /> OWNER ADDRESS ` ' `'�"�` 'f <br /> PHONE %�'r'�: <br /> KELLY, MATTHEW 803 41 PL � \ ryp� , <br /> �• EV�1tEi`1�, WA 98201 (425)258-8062 - ;,. ;�r* - <br /> TENANT NAME CONTACT NAME � �`�' �-'�- '` <br /> Carol Randall qzs 6�36E054 I ��\���`' <br /> CONTRACTOR d�DkESS �'�:�`'� �'"" <br /> FAST WATFR HEATER^OMPANY I2601 131.ND qV6 NE CONTR.LICENSE# �, :� �� � <br /> FASi''�'�ti'H948BC � <br /> - 425-E36-7054 KIRK[,AND,WA 96034 OU04/2012 <br /> PROPQSED USE OF BUILDING �Bulldinp Mochan�ce Addillon HEAT SOURCE <br /> REsidentidl N�RMIT Comhlnafion PlumbinA WORK /�laratl�n QElactric <br /> TYPE nUumolilion [ JSlgn '�YPE Naw as <br /> CON7RqCT PRICE OF WORK — uS �e� Re atrlMalnl ther <br /> /� CITY OF EVERETT I.pCAL SqLES 7AX CODEIS 3105 <br /> wORK DESCRIPTION ' <br /> Remove/Replace Gac Water Heater <br /> UMBIN M6CHANICAL <br /> NO. TYpE OF FIXTURE OR 17EM NO. TYPE OF FIXTURE OR ITEM <br /> —,_ WATER CLOSET <br /> —__ BATHTUB �-_ AIC-AlHANDLING UNITS <br /> ___� LAVqTQRY (WASH BASIN) ---- FORCED AIR SYSTEMS <br /> SNOWER _ kEAT pUMP - � . ;,.: <br /> � � �,;:� <br /> UNIT NEATERS �' t- <br /> � KITCHEN SINK 8 UISPOSAL —�' ' - �� <br /> � CLp7HES DRYER P' " <br /> __ L4U ORY TRAY — - RAfdGE HOOD ,�i � �, � <br /> —,__ CLOTHES WASHER � WATER HEA7ER }: �. <br /> ______ URINAL -- METAL FIREPI,ACEISTOVE � %,,�,�'� <br /> FIREPLAGE INSERT � " ' <br /> �_ OR!�KING FOUNTqIN � GAS FIREPLACE ' ^" <br /> FLOOR DRAIN - <br /> _�__ BACKFLOW PREVENTER ---- GAS RqNGE <br /> —___ SINK (SERVICE/BAWMOP/�C,) GAS PIPING <br /> —__ OTHER —�_ EXHAUST FAN <br /> —�_ OTHER <br /> I NEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APLICA iION AN�KNOW THE SAME T0.9E TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GpVERNING THIS TYPE OF WORK WI�L BE COMPLIED WIHT WHETHER 5pECIF�EO HEREI <br /> OR NOT.T11E GRANTING OF A pERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLqTE OR CANCEL THE PROVISION OF ANY <br /> OTHER 57ATE OR LOCAL IAw REGULATING CONSTRUC71aN OR TNE pERFORMP,NCE OF CONSTRUCTIbN.THAT IAM AUTnORIZEO <br /> BY TME OWNER OF 7HIS PROPERtt TO PERFORh7 rHE WORK FOR WHICH APPLICaT10N IS M1WOE AND I COMVLY Wi7H THE STaTE <br /> CONTRACTORS LAW 1827 RCW ANO 296,20U WAC. <br /> SlgnaWro of Ownor/ConlrctodAutho�izod Agent - <br /> Ca' -��fY1Le�a,,,d��P oato o9/2I/ZolO <br /> / <br /> ui oai � <br /> L . t <br /> —• • .__ ' . r �`-eai^r�'1. #�., :. <br /> i p yr .. i� <br /> ��f L M1'- ( �"t <br /> � rfs / <br /> ' V <br />