Laserfiche WebLink
;�� F"RMIT APPLlCATI N <br />� CITY OF EVERETT PERMIT SERVICES <br />._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />ch�oso <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT?t <br />�3p9 22 SI'. LVERE"i'1'. �UA 95201 00401544201502 �, ,..- -_ <br />%�/ "i ; _lf< <br />LEGAL L07 NO. BLOCK ITRACT <br />DE _ <br />UWNER ADDRESS PHONE <br />2309 2� S'I' <br />�SCORI�AR. JLNNY R CFIRIS'PIAN (�-'S)'-��'`�-'`�' � <br />• �VL'Rf_TT, NA 98201 <br />TENANT NAME CONTACT NAME PHONE <br />i�ntin.t.n iiiu_ a�s xia-�i��.is; <br />CONTRACTOR ADDRESS CONTR.LICENSE# <br />FASI' 1YA'I l3R III:ATGR COMPANY 12G01 132ND AVI: N8 �:��5 � q,���pSipl: <br />KIRKLAND. WA 9R034 02/IG!200i <br />_ (425)Sld-312�t <br />PROPOSED USE OF BUILDING ewminp Meehanica Additfon HEAT SOURCE <br />PERMIT Com6lnalion Plumbing w�kK Alleration []Electric <br />TypE Oemolilion Slgn TYPE New as <br />5 r I r Re airlMaint ther <br />CONTRACT PRICE OF WORK Sqd9.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION �t�movelReplace Gas N%ater Ilcater <br />PLUMBING MECNANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET _.______ A/C•A/HANDLING UNITS <br />BATHT�JB �_____ FGRCED AtR SYSTEMS <br />LAVATORY (WASH BASIN) _____ HEAT PUMP <br />SHOWER ___ UNIT HEATERS <br />KITCHEN SINK B DISPOSAL _____ CL07HES DRYER <br />DISHWASHER _______ RANGE HOUD <br />---- v __� WATER HEATER <br />LAUNDRY TFi< __ <br />CLOTHES WASHER _�__ METAL FIREPLACEISTOVE <br />URINAL _�__ FIREPLACE INSERT <br />DRINKING fOUNTAIN ___ GAS FIREPLACE <br />FLOOR DRAIN ___ GAS RANGE <br />BACKFLOW PREVENTER __ GAS PIPING <br />----- <br />SINK (SERVICE'BARIMOP/ETC.) _^_ EXHAUST FAN <br />_ OTHER--- -- --- 07HER----------------------- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS P.PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br />PROVISIO^!S OF LAWS AND ORDiNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WFiETHER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DJES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LANI REGUI.ATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY THE OWNER OF THIS PROPER�iY TO PERFORM THE WORK FOR WHICH APPLIChTION IS MADE AND � COMPLY WITH TNE STATE <br />CONTRACTORS LAY� 18.27 RCW AIJO 29fi20D WAC. <br />ISignaturo of Ow, edContractorlAuthorizad Ageni _�,: ," ,_ ,,,;.'� � Date ����,��,00> <br />