Laserfiche WebLink
fron: 05/22/20^' 07:35 A108 P.U04/004 <br /> PERMIT APPLICATION 367661 <br /> ��i�� ClTY OF EVERETT PERMIT SERVICES <br /> ` 3200 CEDAR STREET, EVERETT, WA 58201, 425-257-8810 <br /> 425-257-8F357 FAX <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5804 11 AVE W,L•VBRETT, WA 98203 008367U0006600 n h (.\1� I^ �� '" r,'��,� <br /> �\/� U V V <br /> LEGAL LOT NO. BLOCK ITRACT <br /> D <br /> OWNER ADGkESS <br /> SUN,SARUN 5804 I I AVE\V PHONE <br /> • BVERETT,WA 98203 (QZS)407-0535 <br /> TENANT NAME CONTACT NqME . PHONE <br /> Pamela Hill 800-454-8955 X 133 <br /> CONTRACTOR ADDRESS C�NTR.LICENSE# <br /> FAST WAT82 HEATGR COMPANY I260I 132ND AVE NG PASTW WH948DC <br /> (425)Sl4-3I24 KiRKLAND,WA 9R034 01/03/2008 <br /> PROPOSED USE OF BUILDING Bulldinp reechan�ca Addltlon H T SOURCE <br /> PERMIT Combinalion Piumbin0 WORK a�a��ge� - E����rfa <br /> TYPE �molilion g�fl� TYPE y� Gac <br /> lar Re alrlMalnt Olhcr <br /> CONTRACT PRICE OF WORK �qq9,00 CITY OF EVERETT LOCqL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas�Vntcr Aeater <br /> UMBI G MECHANICAL <br /> NQ. TYPE OF FI TURE OR ITEM O. TYPE OF FIXTUR R ITEM <br /> ______ WATER CLOSET A/C-AIHANDLINO UNITS <br /> _____ BATHTU9 FORCED AIR SYSTEMS <br /> ___�__ �-AVATOi�Y (WASH BASIN) '�' <br /> ___ SHOWER ---- HEAT PUMP <br /> -- UNIT HEATERS <br /> ______ KITCHEN SINK & DISPOSAL CLOTNES DRYER <br /> __,__ DISHWASHER RANGE HOOD <br /> _____ LAUNDRY TRAY � 1 WATER HEATER <br /> ____ CLOTHES WASHER META� FIREPLACE/STOVE <br /> _,___ URINAL FIREPLACE INSERT <br /> ___ DRINKING FOUNTAIN GAS FIREPLACE <br /> _ FLOOR DIiAIN GAS RANGE <br /> ____ BqCKFl.OW PREVENTER GAS PIPING <br /> _____ SINK (SERVICE/BARIMOP/ETC.) EXNAUST FAN <br /> _ OTHER_ —'-- <br /> ' �- _.__ OTHER------------ <br /> i i HEREBY CERTIFYTHqT I HAVE REAO AND EXAMINEO THIS APLICATION AND KNOW THE Sl�ME TO BE iRUE AND CORRECT.qLL <br /> � PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A pERMIT DOES NOT PRESUAIE TO GIVE AUTNORITY 70 VIOLATE OR CANCEL tHE PROVISION OF ANY <br /> OTFiER STATE OR LOCq�LAW REGULqTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAOE AND 1 COMPLY WITH THE STqTE <br /> CONTRACTORS LAW 18.27 RCW AND 29G200 WAC. <br /> S(gnafura of OwnedControctor/Authorfzod Ageni �-� _ — Date <br /> �--!�-��'l'�✓�� OS/22/2007 <br /> ui o4� <br />