Laserfiche WebLink
' �ERMIT APPLICA . ION <br /> CITY OF EVERETT PE�RMIT SERVICES <br /> ._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> �sii3a <br /> SI7E ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 5808 14 DR W N6, EVHR87T, \VA 98203 00847700800200 �fY1oz � I-�33 <br /> LEGAL LOT NO. BLOCK ITRACT <br /> DE <br /> OWNER ADDRESS PHONE <br /> PGRftI',ANTHONY 5808 14 DR W N6 <br /> • CVGRG7"C,WA 98203 (4z5)349-4307 <br /> TENANT NAME CONTACT NAME PHdNE <br /> PAMELAHILL q25 SIA-3124x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> �AST NATER HEATGR COMPANY 12601 132ND AVE NB �ASTWHC052DP <br /> (425)81d-3124 KIRKLAND,WA 98034 02/IG/2003 <br /> PROPOSED USE OF BUILDING suildinp Machanica Ardition HEAT SOURCE <br /> PERMIT Comhinalion Plumbinp WORK /��.�raticn �Elactrie <br /> TYPE Demolilian Slpn TYPE New as <br /> r Re alrlMalnt ther <br /> CONTRACT PRICE OF WORK �qq9.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION �temove/Replace Gas�Vatcr Heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _____ WATER CLOSET ______ A/C-A/HANDLING UNITS <br /> ____ BATHTUB _____ FORCED AIR SYSTEMS <br /> ____ LAVATORY (YVASH BASIN) _�__ HEAT PUMP <br /> _ ____ SHOWER ___ UNIT HEATERS <br /> ___ KITCHEN SINK $ DISPOSAL _,__ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RANGE HOOD <br /> ___ �P.UNDRY TRAY 1__ WATER HEATER <br /> ___ CLOTHES WASHER __ METAL FIREPLACE/STOVE <br /> _ URINAL _�__ FIREPLACE INSERT <br /> __ DRINKING FOUNTAIN ___ GAS FIREPLACE <br /> FLOOR DRAIN _ CAS RANGE <br /> ____ BACKFLOW PREVENTER __ GAS P(PING <br /> _�. SINK (SERVICEIBARIMOPlETC.) ___ EXHAUST FAN <br /> ____ OTHER_ OTHER_____________ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF Vr'ORK WILL BE COMFLIED WIHT WHETHER SPECIFIED HEREI <br /> OR NGT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHURITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LGCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT�ON.THAT I AM AUTHORIZEU <br /> 8Y THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH A?PLICATION IS MhDE AND 1 COMPLY WITH THE STATE <br /> CONTRACT4RS LAW 18.27 RCW AND 29620G WAC. <br /> Slgnature of OwnedContractodAuthorized Ageni ,��;�� �G/.� Data �1/18/2002 <br /> wiom <br />