Laserfiche WebLink
From <br />12I��/2010 06:32 �302 P.004/005 <br />� <br />PERMIT APPLICATION 516857 <br />�1j��CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />425-257-8857 FAX l � �/(J—/(J <br />SITE ADDRESS PARCEL TAX I.D.# PERMI7# <br />622 54 ST SW, FVERETT, WA 98203 U043G800004101 � <br />��- � <br />LEGAL LOT NO. BLOCK ITRACT <br />D <br />OWNER ADDRESS PHONE <br />ISOtdW R4 S7' (206)351-0391 <br />BLALOCK,IIM • SGAT7'LE, WA 98117 <br />TENANT NAME CONTACT IvAME PHONE <br />Carol Randall 425-636-7054 <br />CONTRACTOR ADORESS CONTR.LICENSE# <br />I�ASTWATL'RIiEATT:RCOMPANy 12601132NDAVL•NE FAS'1'WN�H948HC <br />KIRKLAND, WA 98034 OI/Od/2012 <br />425-636-7054 <br />PROPOSED USE OF BUILDING su��etnp M�ehan�u WORK �d��i°" H T Sl1URCE <br />PERMIT Combin�don Plumbinp Nt�radon Elactrie <br />Residential 1ypE o�moiiqon Slyn 7YPE New ac <br />R� alr/h1alnl her <br />CONTRACT PRICE OF WORK � C� CITY OF EVERETT IOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remoce/Replace Gir,ctric Water Heacer <br />PLUMBING MECNANICAL <br />NO. TYpF OF FIXTURE OR ITEM . N0. OF FIXTUR R ITEM ___ <br />WATER CLOSET __ ___ A/C-A/HANDLING UNITS <br />BATHTUB ____ FORC[D AIR SYSTEMS <br />� LAVATORY (WASH BASIN) ____ HEAT PUMP <br />� SHpWER ___ UNIT HEATERS <br />KITCHEM SINK 3 DISPOSAL _�_ CLOTHES DRYER <br />DISHWASHER RANGE H�OD <br />IAUNDRY TRAY � 1 _ WATER HEA1 ER <br />� CLOTHES WASHER __ METAL FIREPLACEJ.iTOVE <br />URINAL _�_ FIREPLACE INSERT <br />^ ORINKING FOUNTAIN _ GAS FIREPLACE <br />FLOOR DRAIN GAS RANGE <br />BACKFLOW PREVENTER _, GAS PIPING <br />SINK (SERVICE/BAR/MOP/ETC.) �__ EXHAUST FAN <br />_ OTHER _ _�_ OTHER----------------_� <br />— ----------- --- � ----�_���— — ---- <br />t h'EREBY CERTIFY TW1T I M.AVE READ AND E%AM�NED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRC;ViSIONS OF LAWS ANO ORDINANCES G(WERNING THIS P'PE OF WORK WILL BE COMPLIEO WIHT WHETHER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO C"�� AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCFIL LAW REGULATING CONSTRUCTION OR fh� PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK "OR V� •�ICH APPLICAl10N IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LA�N 18.27 RCW AND 296.20D WAC. <br />Signaturo of OwnerlConireetorlAulhorized Agont ��,�Lcf�,,,,,d�eQP Date �Z�03/2010 <br />