Laserfiche WebLink
To: E Page 3 of 16 2015-11-10 18:49:15 (GMT) 18884000383 From: Deborah Shields <br /> 0 0 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 3014 KROMER AVE #B 00437572600300 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> JOEL SKERLONG 3014 KROMER AVE #B Everett 98201 425-353-5302 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR Washington Energy SVCS Co, LLC ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE#WAS H I ES$51 N S 3909 196th St SW Lynnwood 800-398-4663 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> MULTI FAM _Electric IL/—Gas—Other 750.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS WATER HEATER. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> State rl rc%iw 9 t3?7 , 296.200 WAV1 <br /> j qwr Digita y signed by Jennifer Covello <br /> e y DN:cn=Jennifer Covello,o,ou, <br /> Sig a�' ed t',mai=tenni eranwpermi c=u. <br /> yt1. Date:2015.11.10 10:33:11-08'00' <br />