Laserfiche WebLink
PERMIT APPLICA �'ION <br />����CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, ;25-257-8810 <br />C19425 <br />SITE ADDRESS PARCEL TAX I.D.N PERI:�;TM <br />zoo��vKsrsr:,r:vERFTr,WA 9R20R ooRszi0000iioo nno3ia-c�5 <br />OWNER <br />ROflf R1S, PATRIC'IA <br />TENANI'NAME <br />ADDRE83 <br />2�09 9X ST SG <br />6TT, WA 9N20R <br />CONTACT NAI <br />PAMI:LA FIILL <br />CONTRACTOR IADDRESS <br />�AST WATF.R HEATf:R COMPANY 12601 132ND AVG NI's <br />(425�R14-3124 KIRKLAND, WA 9A034 <br />PROPOSED USE OF BUILDING euoa��o M�eh�nle� <br />PERMIT Combin�llon Plumhlnp WORI <br />TYPE D�mollllon Slpn TYPF <br />CONTRACT PRICE OF WORK S4a9.00 CITY OF EVERE' <br />WORN DESCRIP710N kemove/Rcplocc Gus Waler Healer <br />� <br />�IVATER CLOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 3 OISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASH[R <br />URINAL <br />DRINKING fOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICEIBAR/MOP/ETC.) <br />OTHER <br />� <br />PHONE <br />(425�3R5-2625 <br />425 N14-3124 x133 <br />CONTR.LICENSEM <br />PAST W I IC052 DP <br />02/Ifi/2005 <br />�1�3 <br />NC-A/HANDLINO UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CL0IHES DRYER <br />RANGE HOOD <br />WATER HEATER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />6A8 FIREPLACE <br />GAS RANf3E <br />GA8 PIPINO <br />El(HAUST FAN <br />OTH E R-------------------- <br />-- --- � --------------------- 1 ----- I ------------------------ <br />I MEREBY CERTIFV THAT I MAVE READ AND E%AMINED THIS Af'LICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WIHT WHETNER SPECIFIED MERE <br />OR NOT. TME ORANTING OF A PERMIT DOES NOT PRESUME TO ONE AUTNORITv TO VIOUTE OR CANCEL TME PROVISION Of ANY <br />OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTMORRED <br />BY TME OWNER OF THIS PROPERTY TO PERFORM TME WORN FOR WHICH APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTRACTORS LAW 18.71 RCW AN� Y98.200 WAC. <br />of OwnedContnctor/Authoriad Ap�m ���� �C�, <br />Dtl� IIi25i2003 <br />u� ai <br />