2415 58TH PL SW 2016-01-01 MF Import

iron: 03/11/2010 12:49 8166 P. 002/002 PERMIT APPLICATION 483147 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 425-257-8857 FAX SITE ADDRESS PARCEL TAX I.D.# PERMIT# 2415 58 PL SW,EVERETT, WA 98203 00813500000500 LEGAL LOT NO. BLOCK TRACT OWNER ADDRESS PHONE TOSS,MARK 2415 58 111.SW (425)931-1184 • IiVERETT, WA 98203 TENANT NAME CONTACT NAME PHONE Carol Randall 425-636-7054 CONTRACTOR ADDRESS CONTR.LICENSE# FASTWATER I IEA'rER COMPANY 12601 132ND AVE NE PASTW WH948HC PHONE 425.636-7054 KIRKLAND, WA 98034 0l/Oa/2012 PROPOSED USE OF BUILDING 0 Ilding Mechanics Addltlon H T SOURCE PERMIT Combinatlon Plumbing WORK Allsrstlon Isctrlc Residential TYPE Damollllon Sign n PE Now MGAS Ra ■lr/Malnt her CONTRACT PRICE OF WORK $449.00 CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 WORK DESCRIPTION Remove/Repince Gas Water Ileater PLUMBING MECHANICAL FIXTURETYPE OF OR ITEM OF FIXTURE OR ITEM WATER CLOSET A/C-A/HANDLING UNITS BATHTUB _ FORCED AIR SYSTEMS LAVATORY (WASH BASIN) HEAT PUMP SHOWER UNIT HEATERS KITCHEN SINK A DISPOSAL CLOTHES DRYER DISHWASHER RANGE HOOD LAUNDRY TRAY �l _ WATER HEATER CLOTHES WASHER METAL FIREPLACE/STOVE —__ URINAL FIREPLACE INSERT DRINKING FOUNTAIN GAS FIREPLACE FLOOR DRAIN GAS RANGE BACKFLOW PREVENTER GAS PIPING SINK (SERVICE/BAR/MOP/ETC.) EXHAUST FAN OTHER I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APLICA71ON AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIHT WHETHER SPECIFIED HEREI 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 IAM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 266.200 WAC. Signature of Owner/Contractor/Authorized Agent C:t c a lt4p,„w 'p Dale 03/11/2010