Laserfiche WebLink
�ron: 11/26/2007 11 :38 n748 P. 002/004 <br /> PERMIT APPLICATION 384815 <br /> ~� CITY �F EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> 51TE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5620 14 DR�V 1tt05,EV�ItLT"P,WA 982Q3 0084770171G500 ;; � ir� � I <br /> � ' 1 ' - v��� <br /> LEGAL LOT NO. BLOCK TRACT � <br /> DE � <br /> OWNER ADDRESS PHONE <br /> TANASSE,SHANNON 5620 14 DR M 1.303 (q�5)349-0427 <br /> • EVERETT, WA 98203 <br /> TENANT NAME CONTACT NAME PHONE <br /> 'MAILING ADDRGSS* Carol Randall z <br /> &00-454-8955'c 13,. <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> TAS'f WATER tSCAT�R COMPANY 12601 132ND AVG NE <br /> �ASTW WH948BC <br /> KiRKI,AND, WA 98034 01/03/Z008 '' <br /> 800�154-8955 <br /> PROPOSE� USE OF BUILDING BUIIdInp h�ecbm�ca qddltion HEAT SOl1RCE I <br /> PERMIT Combinatlon Plumbing WORK q��ora6on Elactnc <br /> TYpE Domoll�ion Sign T�'PE New as <br /> Re alrRdalnt thcr <br /> CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL S4LES TAX CODEIS 3105 <br /> WORK DESCRIPTION Remove/Replace Gas Water Heater <br /> PLUMBING MECHANICAL <br /> O. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _:___ WATER CLOSET __� A/C-A/HANDLING UNI7S <br /> __�__ BATHTUB _____ FORCED AIR SYS7EM5 <br /> _____ LAVATORY(WASH RASIN) �__ HEAT PUMP <br /> ____ SHOWER _�_ UNIT HEATERS <br /> ____ KITCHEN SINK & UISPOSAL _�___ CLOTHES DRYER <br /> _ DISHWASHER RANGE HOOD <br /> ______ LAUNDRY TRAY __�__ WATER HEATER <br /> ____ CLOTHES WASHER __ METAL FIREPLACEISTOVE <br /> �_ URINAL ______ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN ,___ GAS FIREPLACE <br /> __ FLOOR DRAIN _ GAS RANGE <br /> _____ BO.CKFLOW PREVENTER ___ GAS PIPING <br /> ___ SINK (SERVICFJBARIMOP/ETC.) ___ EXHAUST FAN <br /> __ CTHER _ OTNER_____ A____ <br /> 1 HEREdY CERTIFY TFiqT I HAVE READ AND EXAMINED THIS APLICATION AND KNC�W THE SAME Tp BE TRUE AND CORRECT.ALL ^ <br /> PROVISIONS OF LAWS AND OROINANCES GOVFiRNING THIS TYPE OF WORK WILL BE COAIPLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NOT.THE GRANTING OF A FERMIT DOES N6T PRESUME TO GNE AU7HORITY TO VIOLA7E OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE P'eRFORMANCE OF CON�TRUCTION.THAT I AM AUTHORIZED <br /> BY TNE OWNER Of 7HIS PROPERTY TO PERFORM THE WORK FOR Wh:ICH APPLICATfON IS MA�E AND I COMPLY WITH THE STq7E <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Signature of OwnerJContractorlAuthnrized Agert �,J_�� +����Qp �ate ����62007 <br /> --- � t <br /> ul a/11 <br />