Laserfiche WebLink
10l 4�2011 09:23 M953 P.002I002 <br /> From: ( <br /> PERMIT APPLICATION 559394 <br /> G�i� CITY OF EVERETT PERMIT SERVICES <br /> `� 3200 CEDAR STREET, EVERETT, WA 98201, 425-257-8810 <br /> 425•257•8857 FAX �d �� �� <br /> SITE ADDRESS PARCEL TAX I.D.N PERM TN <br /> 1430 W CASINO RD f1103, tiVliRli'I'7'. WA 98204 ' //�D.� <br /> LEGAL LOT NO. BLOCK TRACT <br /> OWNER ADORES8 PHONE <br /> 1430 W CASINU RD N107 �qz5)765-3R24 <br /> FURD,ALEXADRIA �;V�K�;.r..�. WA yg2pq <br /> TENANTNAME CO TACTNAME PNONE <br /> �lp �a5�- 425-836-7044 <br /> CONTRACTOR ADDRESS CONTR.LICENSEM <br /> i'AST WA'I'LR I IEATI:R COMPANY 12601 132ND AVii Nii ppS'I W WH948UC <br /> KIRKI.AND,WA 96034 01/04/2012 <br /> 425-838-70$�{ <br /> Bulldlnp M�ol��nle� Addltlon H T SOURCE <br /> PROPOSED USE OF BUILDING PERMIT Comb�n�t�on Plumbinp WORK N����no� ��c�nc <br /> Residential TypE o•molluon sipn TMPE N�w 's <br /> R� drIMaIN thar <br /> CONTRACT PRICE OF WORK ' � -- CITY OF EVERETT LOCAL SALES T.4X CODEIS 7105 <br /> WORK �ESCR�i'TION Remuvc/Replace Gas Wu�er Hcater <br /> �UMBING �,CNANICAL <br /> O U I M Of I (TU R ITEM <br /> WATER CLOSET ______ AIC-A/HANOLINO UNITS <br /> ------ __ FORCED AIR SYSTEMS <br /> BATHTUB ----- <br /> IAVATORY (WASH BASIN) ___.__ MEAT PUMP <br /> SH�WER _`_ UNIT HEATERS <br /> KITCHEN SINK 6 DISPOSAL __�__ CLOTHES DRYER <br /> OISHWASHER _ _ RANGE HOOD <br /> LAUNORY iRAY ____�__ WATER HEATER <br /> � CLOTHES WASHER ___ METAL FIREPLACE/STOVE <br /> URINAL ____ FIREPLACE INSERT <br /> DRINKING FOUNTAIN _�_ OAS FIREPLACE <br /> � FLOOR DRAIN _, GAS RANGE <br /> + BACKFLOW PREVENTER __ 6A3 PIPINO <br /> SINK (SERVICE/BAR/MOP/ETC.) ___ EXHAUST FAN <br /> ---- OTHER_.,_______�_ <br /> _ OTHER__. --- --- ----------- <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED TMIS APLIGA110N AND KNOW THE SAME TO BE TRUE AND CORRECT.All <br /> PROVISIONS OF LAWS AND ORDINANCES GUVERNING THIS TYPE OF WORK WILL BE COMPLIEO WIHT WMETHER SPECIFIFD MEREI <br /> OR N07. THE ORANTING OF A PERMIT DOES NOT PRESUME TO OIVE AUTHURITV TO VIOLATE OR CANCEL THE PROVISk7N OF ANY <br /> OTMER 51ATE OR LOC�L LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIQN.TMAT 1 AMAUTMORIZED <br /> BV THE PWNER Of TNIS PROPERTY TO PERFORM TME WORK fOR WHICH APPLIGATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS 4AW 18.27 RCW AND 298.206 WAC. <br /> Sipneturo of OwnerlContraelor/Aulhorized Apent � ���� 10,'i9/201I <br /> u�vii <br />