Laserfiche WebLink
P IRMIT APPLICATiIiN <br />04� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />',69457 <br />SITE ADDRESS <br />PARCEL TAX I.D,# <br />PERMIT# <br />5i1 61 ST SE. EVERETT, WA 98203 <br />I)057931HI2029(H) <br />Mo21 G ,G' I C <br />I'1 IJ <br />LEGAL <br />LOT NO. <br />BLOCK <br />TRACT <br />DESC <br />OWNER <br />PHONE <br />CRAIG, LYNNE <br />[AIDDRESS <br />TSli'.\'I.RETT. <br />(425)7111-11175 <br />WA 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PANIEI.A IIII.L <br />425 814-3124 x133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST WATER HEATER COMPANY <br />126111 132ND AVE NE <br />FAST\\,IIC052D1' <br />PHQNE (425)814-3124 <br />KIRKLAND, WA 9h034 <br />1 <br />02/16/21)(0 <br />PROPOSED USE OF BUILDING <br />Building Mechanic. <br />Addlllon <br />H AT SOURCE <br />PERMIT <br />Combinetion Plumbing <br />WORK <br />Allara In <br />Elec lric <br />TYPE <br />Demolition Slgn <br />TYPE <br />New <br />as <br />Re air/Malnt <br />ther <br />CONTRACT PRICE OF WORK $3.19.(H) <br />ICITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION <br />Itcmocc/Kcplarc Electric \V;ucr I Ic;dcr <br />i uMBIII NG <br />MECHANICAL <br />O. I TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />_______ <br />A/C•AIHANDLING UNITS <br />_----- <br />BATHTUB <br />_______ <br />FORCED AIR SYSTEMS <br />_______ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />_______ <br />KITCHEN SINK 6 DISPOSAL <br />CLOTHES DRYER <br />DISHWASHER <br />__ _ <br />RANGE HOOD <br />LAUNDRY TRAY <br />------ <br />WATER WATER HEATER <br />CLOTHES WASHER <br />METAL FIREPLACE/STOVE <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />GAS FIREPLACE <br />FLOOR DRAIN <br />GAS RANGE <br />BACKFLOW PREVENTER <br />GAS PIPING <br />SINK (SERVICEIBAR/MOP/ETC.) <br />EXHAUST FAN <br />OTHER <br />OTHER______ <br />I 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 COMPLIED WIHT WHETHER SPECIFIED HEREIN <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 1 AM AUTHORIZED <br />BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signaluro of Owner/Contractor/Authorized Agem Date <br />1012112( <br />ui "l <br />