Laserfiche WebLink
FEB-12-c�ll �8:43 From:4258149516 Paee:2'4 <br /> � <br /> PERMIT APPLICATION 518069 <br /> ��i� CITY OF EVERETT PERMIT SERVICES <br /> ` 3200 CEDAR STREET, EVERETT, Wq gg201, 425-257-8810 ���-�� <br /> 425-257-8857 FAX •• <br /> SITE ADDRESS PARCHL TAX I.D.N PERMIT# <br /> 1430 W CA5M0 RD aZ94,GVERETT, WA 98204 • <br /> LEGAL LOT NO. BLOCK TRACT <br /> D <br /> OWNER ADbRESS PHONE <br /> ri.rrci���, KLrrxErn 1�3(�V�I� �0.5��lo�d. ��`�'-} (425)355-8809 <br /> TENANT NAME �f�w����� <br /> CONTACTNAME PHONE <br /> �er--�'I�A vCL(CY� 425�636•7054 <br /> CONTRACTOR AbDRESS CONTR.LICEN36A� <br /> PAST WAT�R HEATEk COMPANY 12601 132ND AVG NE <br /> FASTWN'H948pC <br /> P�� 425-636-7054 ��-AND, WA 98034 01/04/2012 <br /> PROPOSED USE OF BUILDINc3 euiro��o M.cn,�ioa �aa�non H T SOURCE <br /> Residential OERMIT CemblmHon p�umelnp W�RK luqnyue �I�cMa <br /> TYPE ��moli6on tlOn n'PE New as <br /> CONTRqCT PRICE OF WORK � R" ������^� Aer <br /> CIiV OF EVERETT LOCqL SALES TAX COUEIS 7105 <br /> WORK DE9CRIPTION <br /> Remove/kepiace Gas Wnter Heater <br /> B� �SHANICAL <br /> o � FIX7URE OR ITE 0. E oF I U E 0 I EM <br /> —__ WATER CLOSET A/C-A/HANDLIN6 UNITS <br /> �_ BATMTUB ----- <br /> _ _._ LAVATORV (WASH OASIN) ----- FORCED AIR SVSTEMS <br /> _� SMOWER .. HEAT PUMP <br /> ______ KI7CHBN SINK 8 OI£P08A� ----- UNIt NEATER$ <br /> __�_ DISHWASHER --- C�OTHES DRVER <br /> ___ LAUNDRY TRAY - �NaE HOOD <br /> _�_ CL07HE3 WASHER —�- WATER HElTER <br /> � URINAL --� METAL FINEPLACE/STOYE <br /> ___ ORINKING FOUNTAIN ----- FIREP�ACE INSERT <br /> _ F�OOR DR41N _ GAS FIREPLACF <br /> _�.__ eACKFLOW PREyENTER OAS FtANaE <br /> _� SINK (SERVICE/BARIMOP/ETC.) ---- QAS ►IPINo <br /> —__ OTHER --- �(HAUST FAN <br /> —� �_ --- O7H[R------------- <br /> 1 HEFFt9v CFRTIFY THAT I MAVE qUD AND E%AMWCD 1HIS APUCATiON AN�KNOW TNE SAME TO BE TRU[AND CORpECL ALL <br /> PROVISIUNS C�F LAWS AND bHUINANCBS GUVFRNING THIS TVpE OF WORK WI�� BE COMPLIEO WIHT WMETHEF SPECIFIED HEREI <br /> OR NO?. TNF GMNTING OF A PERMIT DOES N07��R[SUM[TO GNE AUTIIORITY TO VIOUTE OR CANCEI.THE pRUVISION OF ANY <br /> OttiER STATE JR LOCAL t/�W REGUUtING CUNSTRUC7iON OR 7ME P�RFORMANCE OF CONSTRUCTION. THAi IAMqUTHORREo <br /> Hv T1�E OWNE�i OF THIS PROVERTY tU PERFORM 7HE WURK FOR WHICM APPLICPTION IS MNOE AN01 COMPLY WITM TMF SiATF <br /> CONTR/1CTOR:i LAW 18.21 RCW AND 20G200 WAC. <br /> Slgnaturo of Chvnor/ContractodAufhorlied Apenl <br /> `.__—_ G'a..�r°lY`ll��.,�cQp D�to 0�/I1i201I <br /> / <br /> u���� <br />