Laserfiche WebLink
I -��� '. 'ERMIT APPLICA"� ,ON <br />�C�� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />018045 <br />SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br />416 74 ST SN'. IiVBR1iTT. R'A 9R203 0070800000N800 M�q �—�� <br />� ri..� . �_.._ J <br />OWNER <br />LARSON, DAVID <br />ADDRESS <br />ai�,�asrsw <br />� BVIikGTT, 14A 9%203 <br />1'A�1HLA HILL <br />CONTRACTOR ADDRESS <br />�AST \VATIiR HGATGR COMPANI' 12(�01 132ND AVIi NE <br />(�?5)R14-3124 KIRKLANU,IVA 98034 <br />PROPOSED USE OF BUILDING B���d��c M.on,mc, <br />PERMIi Gombin�tlon ' Plumbinp WORI <br />TYPE D�molilton Slon TVPE <br />cVNiRACT PRICE OF <br />WORK DESGRIPTION <br />5349.00 <br />licntuvc/Kcplill'l` I:II`l'IfIC WB�I'f HCJICf <br />WATER CIOSET <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCNEN SINK 6 OISPOSAL <br />DISHWASHER <br />LAUNDRY TRAY <br />CL07HES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER <br />SINK (SERVICFJBAR/MOP/ETC.) <br />OTHER <br />� <br />� <br />PHONE <br />(425�34R-SSR3 <br />425 N14-3124 x133 <br />CONTR.LICENSE# <br />PnSTWHC052Df <br />02/16/2005 <br />SALES <br />/V!:•A/NANDLING UNITS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYER <br />RANGE HOOD <br />WAT�R HEqTER <br />METAL FIREPLACE/STOVE <br />FIREPLACE INSERT <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIP�N6 <br />EXHAUSTfAN <br />OTHER__________� <br />SOURCE <br />� HEREBY CERTIFV 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 TNIS TYPE OF WORK WILL BE COMPLIEO WIHT WHETMER SPECIFIED MERE <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR IOCAL LAW REGULATING CONSiRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AMqUTMORIZEO <br />BY THE OWN[R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMP�Y WITM THE STATE <br />CONTRACTORS LAW 1B.27 RCW AND 296.20� WAC. <br />nature of OwnodContractorlAuthorizad Ageni ���-..,� ' �ate <br />��-� OA/2212003 <br />uiyn <br />