Laserfiche WebLink
Sent By: HP LaserJet 3100; <br />4258249516; Apr-19-06 1:19Ph1; Paye 2/3 <br />P`cRMIT APPLaCATIuN <br />�����CITY OF EVERETT PER�UIIT SERyt�ES <br />3200 CEDAR ':.'�'REE7, EVEl2ETT. WA 98201, 42.5-257-8810 <br />oai9nr� <br />SI7E ADDRESS PARCEL TPX I.D.# pERM1T# <br />ll)120 19 PI. W, [VL•ItE7T', �1'A 9S204 00G913UOOC�700 � ��U�/ G�_C`�I <br />OWNER <br />co�n��rc, 'f HEhfiSA <br />ADDRESS <br />ioizo tv YL :v <br />� svt3ftCTT, t��n 9s20A <br />CONTACTNAME <br />F'AMFLA HILL <br />CONTRACTOR ADDRESS <br />P.4ST WA'('1R11F.A1'iKCOMPAhY I?G01 132NDAVF.NE <br />(42�)bl4-:t124 kIRK1.AN[J, «'A 9ft0=4 <br />PROPOSHD US� OF BUILDING Bulldinp Machan�ca WORK <br />PERMIT Comhln�lian ' Plumbine <br />TYPE oumolilion slpn T'�PE <br />OF <br />WORK DESCRIPTIDN <br />�349.UU <br />2emovc/Replace Electric �Uater Healer <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WASH 8A51N) <br />SHOWER <br />KI7CHEN SINK d DISPoSAI <br />DISfiWASNER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLQW PREVENTER <br />SINK (SERVICElBAR/MOP/ETC.) <br />OTHER__�_,_ ___ <br />� <br />� <br />PHONE <br />(425)353-0102 <br />PHONE <br />425 `J14-3124 x133 <br />CONTR.LICENSE# <br />FAS'fWA'H9ASBC <br />airo3r?nns <br />LOCqL SALES <br />fORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />C�OTHES DRYER <br />RANGEHOOD <br />WATER H[ATER <br />METAL FIREPLACElSTOV[ <br />FIREPLACE INSHRT <br />GAS FIRpPLACE <br />GAS RANGE <br />GAS PIPINO <br />EXHAUST FAN <br />OTH ER----_---_'-'_--------- <br />HEREBY CERTIKY THAT I HAVE READ AND EXl�MINED THfS ApLICATION 1ND KNOW THE SAME TO BE TRUE AN� CORRECT.ALL <br />'ROVISIONS Of LAWS �N� OROIkANCES GOVERNING THIS TYPE OF W( iRK WII.L BE COMPLIEO WIHT WHETHER SPECiFIED NERE <br />)R NOT. THE �RANTING OF q PERM�T p0E5 NOi PRESUME TO GNE AUt NORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br />)TN[R STATE OR LOCAL LAW REGi �' qTING CONSTRUCT1nN OR THE PE!iFOR�MNCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />IY THE OWNER OF 7NI5 PROPERT`r i0 PERFDRM TH[ WORK FOR WHI< H APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />:ONTRACTORS LAW iB.27 RCW AND 296.200 WAC. <br />fpnuWre of OwnerlContractorlAulho�ized Aponi ��.,..::�;��. :,;�_�' ;;: j- Date �,�(19i200G <br />v.v .m <br />