Laserfiche WebLink
From: <br />02/7�/201U 12:40 tt861 P.002/002 <br />PERNlIT APPLICATION 48°"6 <br />��� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-88i0 <br />425-257-8857 FAX Z - az�/(% <br />E ADDRESS PARCBL TAX I.D.# PERMI7a't <br />1031d 19 PL \V, GVERE'I"1', WA 98204 <br />OWNER <br />KT:LI,LY, SUSAN <br />00710300002700 <br />ADDRESS <br />] 0314 19 i`L N <br />EVERE'I'T, ',VA 95204 <br />�CONTACT NAI <br />Carol Randall <br />CONTRAC:TQR IADDRESS <br />PA57' �1'A'CGIi tIBATGK C��MPANY 12601 132ND AVL NL- <br />PHONE 425-636-7054 <br />PROPOSED USE OF BUILDI <br />Residential <br />NTRACT PRICE OF WORK c�9q9,p0 <br />K1ItfCLAND, WA 98034 <br />WORK DESCRIPT�ON <br />Rcmovc/Repincc 8lectric \Vatcr I-Icatcr <br />WATER CLO5ET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 3 DISPOSAL <br />DISHWASHER <br />LAUNORY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICE/BAR/MOPIETC.) <br />OTHER __ <br />Plumbl�g <br />WORK q�tei <br />IYPE New <br />PHONE <br />(A25)353-G04G <br />PHONE <br />425-636-7054 <br />CONTR.LICENSE# <br />f'AST1i'R'I I94&UC <br />Ol/OA/2012 <br />E <br />CITY OF ELERETT LOCAI SALES TAX CODEIS 3105 <br />A/C-A/HANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />OTHER,___� <br />I NEREBY CERTIFY THAT I HAVE READ �ND EXl��dINED THIS APLICATION AND KNOW Tt1E SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS 7YPE OF WORK WILL BE COMpLIED 4YIHT NJ}iETHER SPECIF�ED fiGRE <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOL�TE OR CANCEI 7HE PROVISION OF ANY <br />OTHER STATE OR IOCAL U�W REGUTATING CONSTRUCiION qR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED <br />8Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND I COMPLY WITH TNE STATE <br />CONTRACTORS L�W 19.27 RCW AND 296.200 WAC. <br />of OwnedContractor/Authorizod Agont � y��a�.���, �Q� <br />Date 02/22/3010 <br />RSI 9R1 <br />