Laserfiche WebLink
; -- PERM�T APPLICATION <br />CITY OF EVERETT PERIVIIT SERVICEs <br />.._ 3200 CI=DAR STREET, EVERETT, WA 98201, 425-257-8810 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />7508 7th Dr W 00708000000200 rn0(II-0(3 <br />LEGAL LOT NO. BLOCK ITRACT <br />DESC. <br />OWNER ADDRESS PHONE <br />Jesus Rodriguez •7508 7th Dr W Everett WA 98203 925-348-9702 <br />TENANTNAME CONTACT NAME PHONE <br />Pamela Hill 925-814-3124X13 <br />CONTR4CTdR ADDRESS CONTR.LICENSE# <br />Fast Waier Heaters Company (SEA) <br />12601 132nd Ave. N.E. <br />4258143124133 Kirkland WA 9A034 FASTWHC052DF <br />PROPOSED USE OF FiUILDING Building Mechan�ca nddition HEAT SOURCE <br />PERMIT �ombtnation x plumbing W��RK x Alteration ❑Electric <br />TYpE BDemol(tion ❑Sign TY�'E �New as <br />5 r nkl r Re airlMaint ther <br />CONTRACT PRICE OF WORK 399. 00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Remove/replace electric water heater <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR 17EM NO. TYPE OF FIXTURE OR ITEM <br />_______ WATER CLUSET ______ AIC-AIHANDLING UNITS <br />____ BATHTUB _____ FORCED AIR SYSTEMS <br />____ LAVATORY (WASH BASIN) ______ HEAT PUMP <br />____ SHOWER ______ UNIT HEATERS <br />____ KITCHEN SINK 8 DISPOSAL ______ CLOTHES URYER <br />____ DISHWASHER _ _ RANGE HOOD <br />____ LAUNDRY TRAY __�__ WATER HEATER <br />_____ CLOTHES WASHER _____ h7ETAL FIREFLACE/STOV'c <br />___ URINAL ___ FIREPLACE INSERT <br />____ DRINKING FOUNTAIN ____ GA5 FIREPLACE <br />____ FLOOR DRAIN ____ GAS RANGE <br />____ BACKFLOW PREVENTER ____ GAS PIPING <br />___ SINK (SERVICEIBARIMOP/ETC.) ____ EXHAUST FAN <br />------ OTHER------------ ---- OTHER---------------- <br />------- ------------------------------- ------- ------------------------------- <br />I HEREBY CERTIFY THAT I HAVE RE�D AND EXAMINED THIS APLICATION AND KNOW THE SP,ME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COAIPLIED WIHT WHETHER SPECIFIED HEREI <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMA�CE OF CONSTRUCTION. THAT I AM AUTHORIZED <br />BY ThiE OWNER OF THIS PROPERN TO PERFORM ThIE WORK FOR WHICH AF?LICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RC,W AND 296.200 WAC. <br />i �� C' /t/iij" � <br />Signature of OwnedContractor/Authorized Agent D te <br />wi o7i <br />