Laserfiche WebLink
F RMIT APPLICATI -)N <br /> 04-rr CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA .38201, 425-257-8810 <br /> CK 1337 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 201)60 PL SF_ EVERETT, %VA 98203 <br /> 00794I1)n005uni Nr,Lfp( _U4 <br /> LEGAL LOT NO. BLOCK (TRACT <br /> OWNER ADDRESS PHONE <br /> IWISER.JERF 21 '1601'1_SE <br /> I;YIIRETT', %VA 99203 (425)210.5426 <br /> TENANT NAME CONTACT NAME PHONE <br /> PAMELA HILL 425 814-3124 x133 <br /> CONTRACTOR ADDRESS CONTR.LICENSE# <br /> PAST WATER HEATER COMPANY 12601 132ND AVE NE fASTWIIC052DI; <br /> I PHONE (425)814-3124 KIRKLAND.WA 98034 02/16/2005 <br /> PROPOSED USE OF BUILDING Building x MaehaniCa WOK Add"on <br /> HEAT SOURCE i <br /> PERMIT Combination PlumbinpAllaraaon Electric <br /> TYPE Dan�clition Slpn TYPRE Naw as <br /> r Ra airtMalnl !her <br /> CONTRACT PRICE OF WORK 5449.00 ICITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br /> WORK DESCRIPTION <br /> Itcnu,vc/Itcplacc Gas 1Vatcr I Icatcr <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 (WASH BASIN) ______ HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL _______ CLOTHES DRYER <br /> DISHWASHER __ _ RANGE HOOD <br /> _______ LAUNDRY TRAY � WATER HEATER <br /> CLOTHES WASHER _ METAL FIREPLACEISTOVE <br /> = URINAL -_ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _ OAS FIREPLACE <br /> FLOOR DRAIN GAS RANGE <br /> BACKFLOW PREVENTER GAS PIPING <br /> SINK (SERVICE/BAR/MOP/ETC.) 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 TYPE OF WORK WILL BE COMFLIED WIHT WHETHER SPECIFIED HERE( <br /> OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED <br /> BY THE OWNER OF THIS PROPER TY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAN 18.27 RCW AND 296.200 WAC. <br /> Signature of Owner/Contractor/Authorized Allow i�i�� '` /.— Dale 01/21/2004 <br /> an gni <br />