Laserfiche WebLink
froM: 05/1�/2009 13:48 �527 P. 002/002 <br /> PERMIT APPLICATION 444075 <br /> CITY OF EVERETT PERMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201 , 425-257-8810 <br /> A25-257-8857 FAX 5 -13 -f� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 10805 5 AVE SL',EVGRETT, WA 96205 00744000000700 I�I\r'� ��•1 ) - U I� <br /> .( Li li <br /> LEGAL LOT NO. BLOCK TRACT <br /> D <br /> OWNER ADDRESS PHONE <br /> COItN1VALL,KELLY �0805 5 AVE SG ���5��8� 24�4 <br /> • IsVE1t2iTT,WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> Carol Randall 425-636-7054 <br /> ' CONTRACT�R ADDRESS CONTR.LICENSE# <br /> PAS'C WA'PfiR IICAT62 COMPANY 12G01 132Nll AVG N8 PAST1VN91948BC <br /> KIltKLAND,WA 95034 O1/04/2010 <br /> N 425-636-7054 <br /> PROPOSED USE OF' BUILDING Bulldinp Machanica Addition HEAT SOURCE <br /> PERMIT Comhinallon Plumbing �yQRK Allarotlon Electrlc <br /> �ypE Demolitlon Slgn TYP= Now aa <br /> 5 r n ler Re airlMainl ther <br /> CONTRACT PRICE OF WORK $34).00 CI7Y OF EVERETT LOCAL SALES TA7( CODEIS 3105 <br /> WORK DESCRIPTION Remove/Itepince F.Icclric Water Heater <br /> PLUMBING MECHANICAL <br /> N . IYPE OF FIXTLIRE OR ITEM NO. TYPE OF FIXTURE R ITEM <br /> �__ WATER CLOSET �____ A1C-A/HANDLING UNITS <br /> ___ BATHTUB ___ FORCED AIR SYSTEMS <br /> ____ LAVATORY (WASH BASIN) _ HEAT PUMP <br /> __ SHOWER ____ UNIT HE4TERS <br /> ___ KITCHEN SINK ti DISPOSAL ____ CLOTHES ORYER <br /> ___ DISHWASHER _ RANGE HOOD <br /> ___ LAUNORY TRAY 1__ WA7ER HEATER <br /> �_ CLOTHES WASHER ____ METAL FIREPLACE/STOVE <br /> _ URINAL ____ FIREPLACE INSERT <br /> DRINKING FOUNTAIN �__ GAS FIREPLACE <br /> FLOOR DRAIN _ GAS RANGE <br /> _ BACKFLOW PREVENTER ___ GAS PIPING <br /> __ SINK (SERVICEIBARIMOP/ETC.) ,__ EXHAUST FAN <br /> _�_ OTHEF._ __ _ OTHER_��__�________ <br /> I -- ----------- -- ----- ---------—— <br /> 1 HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYP'e OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE PERFOP.MANL'E OF CONSTRUCTION.THAT 1 AM AUTHORI<ED <br /> 8Y THE OWNER UF THIS PROPERTY TO PERFORM THE WORK FOR Y�HICHAP?LICATION IS MAOE ANp�COMPLYYlITH TME STATE <br /> CONTRl.CTORS�AW 18.27 RCW AND 296.200 WAC. <br /> Signaturo ot OwnodCantractorlAuthorized Agent �,��,��lj��,�lIP Uate OS/13/2009 <br /> ui ni <br />