Laserfiche WebLink
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 />SITE ADDRESS <br />2416 RUCKER AVE <br />LEGAL LOT NO. <br />DESC. <br />CHARLES W KACKER <br />TENANT NAME <br />CONTRACTOR �A/ESCO <br />VV <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />00439155502500 <br />BLOCK I TRACT <br />CONTR. LICENSE #, n'AS H I ES97 � O B <br />VV <br />USE OF BUILDING <br />Residential <br />WORK DESCRIPTION <br />HUUKt55 <br />2416 RUCKER AVE <br />CONTACT FOR PERMIT <br />Jennifer Burgess <br />ADDRESS <br />3909 196 St SW, <br />HEAT SOURCE <br />_ Electric � Gas _ Other <br />REPLACE 50GAL GAS WATER HEATER <br />TANK IS LOCATED IN BASEMENT <br />NO. <br />�� <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />i <br />PERMIT # <br />��e� � '�a% ; G% — (.' <br />Q IY/LIF' PF10NE <br />Everett 98201 425-330-5� 49 <br />PHONE <br />206-774-9499 <br />qTY/ZIP PHONE <br />Lynnwood 98036 800-398-4663 <br />CONTRACT PRICE OF WORK <br />$950 <br />Idilxy:i_1►1[y_\� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <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 knowthe same to be true and correct. All provisions of laws and <br />ordinaces governing thistype 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 pertormance 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 Contractors Law 18.27 RCW and 296.200 WAC. <br />Digically zlgned byJennifer Buryess <br />� e n n i f e r B u rq e s s D RMR, email=j e ni9er� wpeormii oms c �RMIT, ou=NORTHWEST <br />Signature of OwnerlContracto Au�l thori�ad Date <br />