Laserfiche WebLink
I PERMIT APPLIC♦. riON <br />,- <br />CITY OF EVERETT PERMIT SERVICES <br />,._ 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br />018297 <br />SITE ADDRESS <br />PARCEL TAX I.D.# <br />PERMIT# <br />S03 81 PI_ SF, EVERI:TT. WA 98203 <br />00691100004600 <br />p 305-D l <br />l 2 <br />) <br />LEGAL <br />LOT NO. <br />BLOCK (TRACT <br />DE <br />OWNER <br />ADDRESS <br />PHONE <br />SI11'.Rh1AN, LINDA <br />2503 81 PL S1: <br />(425)347•B35 <br />I'VI:RI:1'T,11'A 98203 <br />TENANT NAME <br />CONTACT NAME <br />PHONE <br />PANIFLA HILL <br />425 814-3124 s133 <br />CONTRACTOR <br />ADDRESS <br />CONTR.LICENSE# <br />FAST \1'A1 FR IILATI:R CONWANY <br />12601 132ND AVE- NE <br />1'ASTWHC052D1' <br />KIRKLAND. \VA 98034 <br />02/16/2005 <br />PHONE (425)81.1-3124 <br />PROPOSED USE OF BUILDING <br />Building Mechanics <br />WORK <br />Addition <br />HEAT SOURCE <br />PERMIT <br />Combination Plumbing <br />Alteration <br />Electric <br />TYPE <br />Demolition Slpn <br />TYPE <br />Now <br />�aa <br />r r <br />Reps <br />ther <br />CONTRACT PRICE OF WORK S349.00 <br />CITY OF EVERETT LOCAL SALES TAX CODEIS 3105 <br />WORK DESCRIPTION Remove/Replace Electric Water 1lealcr <br />PLUMBING <br />MECHANICAL <br />NO, TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET <br />------- <br />A/C-A/HANDLING UNITS <br />BATHTUB <br />------- <br />FORCED AIR SYSTEMS <br />------- <br />LAVATORY (WASH BASIN) <br />_______ <br />HEAT PUMP <br />SHOWER <br />___ __ <br />UNIT HEATERS <br />KITCHEN SINK & DISPOSAL <br />-------- <br />CLOTHES DRYER <br />DISHWASHER <br />__ _ <br />RANGE HOOD <br />LAUNDRY TRAY <br />__ -1__ <br />WATER HEATER <br />CLOTHES WASHER <br />------- <br />METAL FIREPLACE/STOVE <br />URINAL <br />_____ <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />-____-- <br />GAS FIREPLACE <br />_ <br />FLOOR DRAIN <br />—____ <br />GAS RANGE <br />BACKFLOW PREVENTER <br />--_ <br />GAS PIPING <br />_—_ <br />SINK (SERVICE/BAR/MOP/ETC.) <br />EXHAUST FAN <br />----- <br />OTHER --------- --- <br />----- <br />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 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 IAM AUTHORIZED <br />BY THE OWNER Or 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 />Signature of Owner/Contractor/Authorizod Agent ���w /�'r /-- Data 05/27/2003 <br />UI M, <br />