Laserfiche WebLink
frnn: 02/7°/2008 12:35 p353 P.005/007 <br /> PERMIT APPLICATION 395113 <br /> �wi� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425-257-8857 FAX <br /> SI7E ADDRE�' PARCHL TAK I.D.# PERMIT# <br /> IG?3 107 S7'514,E.VGRI�Ti', WA 9820A 00552J00301104 ��,�� . �, . <br /> .� <br /> LEGAL LOT NO. BLOCK �TRACT <br /> _E _f_ <br /> OWNER AI.JRESS PHONE <br /> L1U,11iNM1Y 1633 lU7 S7'S\V <br /> • BVHKf:TI', WA 'IR20J (423)290-G188 <br /> TENANT NAME CONTACT NAME PHONE <br /> LI, SIfnN-DAUGHTBR-IN•1.AW Cerol Randall 800�54-8955 x 133 <br /> CONTRACTOR ADDRESS CONTR.LICEN�Ep <br /> PAS7'WATPlt IIEATER COMPANY I2601 132NU AV8 NI: FAS7'W WII94RBC <br /> p�QNE <br /> 800-'SA-89E5 KIKKLAND,WA 98034 01/UA2010 <br /> PROPOSED USE OF BUILDING euuainy M.cn.me. WORK �d'��O" H T souRCE <br /> PERMI7 ComEln�llon Vlumhlnp All�ra0on NelAc <br /> rrre o.moauo� s�on rvPe H.w ,. <br /> k� elrlhlelnt lhar <br /> CONTRACT PRICE OF V�ORK 5-049.00 CITV OF EVERETT LOCAL SALES TAX CODEIS 7105 <br /> WORK DESCRIP710N kemo•�c/Itepluw Gas Wntcr llentcr <br /> PLUMB!j�: MECHANICAL <br /> TYP OF URE OR I EM O OF U R Ii <br /> _______ WATER CL03ET ______ AIC-lJMANULIN6 UNITS <br /> ____ BATHTUB __�___ FORCED AIR SYSTEMS <br /> ___ LAVATORY(WASH BASIN) ,___,_ HEAT PUMP <br /> ___� SHOWER ___ UNIT HEATERS <br /> ___ KI7CHEN SINK 8 DISPOSAL ___ CLOTHES DRYER <br /> ___ DISHWASHER __ _ RA'�GE HOOD <br /> ___ LAUNDRY TRAY _A�__ WATER HEATER <br /> ____ CLOTHES W'ASHF,R _`_. METAL FIREPLAC�JSTOVE <br /> ___ ._ URINAL _____ FIREPLACE INSEliT <br /> __ �RINKING POUNTAIN _ GAS FIREPLACE <br /> FLDOR DRAIN _ OAS RAN6E <br /> ____ BACKFLOW NREVENTER _ 6AS PIPIN6 <br /> _�__ SINK (SERVICEIBAR/MOP/ETC.) ___ EXHAUST FAN <br /> ---- OTHER— ---- OTMER------------------._- <br /> I MERFBY CERTIFV 1NAT I NAVE READ AND EXAMINED THIS APLICHTION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> PRUVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED WIHT WHETHER SPECIFIED MEREI <br /> OR NOT. THE OfiAhil4c,OF A PERMIT DOES NOT PRESUh1E TO 61VE AUTHORITV TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br /> OiHFR STA!E OR LOCAL lAW REGULATING CUNSIRUCTI'7N pR THE PERFORMANCE OF CONSTRUCTION.THnT I AM AUTHORI2E0 <br /> BY THE OWNER OF TNIS PROPERTY TO PERFORM THE WORK F�JR JVHICH APPLICATION IS MAOE AND I COMPLV WITM THE STATE <br /> CONTRACTURS LAW 1 B.Y7 RC W AND 2�J6.200 WAC. <br /> Signnlure of OwnedCuntnctoNAutho�lzed Apenl �y��s�g��fy?�,,,,,f�mp D�t• 02/22/2008 <br /> UI VI� <br />