118 58TH PL SW 2016-01-01 MF Import

P-RMIT APPLICATI A CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 C1:_'38.1 SITE ADDRESS PARCEL TAX I.D.# PERMIT# -- 118 58 PL SW,EVERETT, WA 98203 00816600004500 yt,t 0SU 5- C15 � LEGAL LOT NO. BLOCK TRACT DE OWNER ADDRESS PHONE OUDEANS,RENITA 118 58 I'L SW EVERETT,WA 98203 1425)346-0810 TENANTNAME CONTACT NAME PHONE PAMELA HILL 425 814-3124x133 CONTRACTOR ADDRESS CONTR.LICENSE# I'ASI'WA'rER IIEATER COMPANY 12601 132ND AVE NE. I ASTWHC052DI' PHONE (425)814.3124 KIRKLAND,WA 98034 02/162007 PROPOSED USE OF BUILDINGBuilding Machanica Addition H T SOURCE PERMIT Combination Plumbing WORK Alteration ,SOURCE TYPE Demolition Sign TYPE New as Sprinkler Re airlMalnt ther CONTRACT PRICE OF WORK Sgg9,00 CITY OF EVERETT LOCAL SALES 'rAX CODEIS ]105 WORK DESCRIPTION ltemovc/Replace Gas Water Heater PLUMBING MECHANICAL O. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM WATER CLOSET ______ A/C-A/HANDLING UNITS ______ BATHTUB FORCED AIR SYSTEMS LAVATORY GNASH BASIN) _______ HEAT PUMP SHOWER UNIT HEATERS KITCHEN SINK 6 DISPOSAL CLOTHES DRYER DISHWASHER _ RANGE HOOD LAUNDRY TRAY I_ WATER HEATER CLOTHES WASHER METAL FIREPLACE/STOVE URINAL FIREPLACE INSERT DRINKING FOUNTAIN GAS FIREPLACE FLOOR DRAIN GAS RANGE r_ BACKFLOW PREVENTER GAS PIPING SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN OTHER_____— OTHER_________ 1 HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS APLICATION AND KNOW 1 HE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES C_VERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 16.27 RCW AND 288.200 WAC. Signature of Owner/Contractor/Authorized Ageni Date 05252005 u,iii