Laserfiche WebLink
To: E Page 1 of 4 2015-12-24 00:25:21 (GMT) 18884000383 From: Deborah Shields <br /> • • <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.# ERMIT# <br /> 1511 63RD ST SE 00302900100302 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> CHERYL YOUNG &WILLIAM LAWRENCE 1511 63RD ST SE Everett 425-353-8736 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Maida Khan 360-945-2787 <br /> CONTRACTOR Washington Energy SVCS Co, LLC ADDRESS CITYIZIP PHONE <br /> 3949 196th St SIN Lynnwood 800-398-4663 <br /> CONTR. LICENSE#,�r h��1 C�S G� A I <br /> USE OF BUILDING Vri c J 'V HEAT SOURCE CONTRACT PRICE OF WORK <br /> S F R —Electric ]�Gas—Other l.X5 <br /> WORKDESCRIPTION <br /> INSTALL HEAT PUMP <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 pre enter Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Bailer <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 /> 1 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 Contractor, t 41P 417-01"A <br /> y , Digitally signed by Jennifer Covello <br /> y DN:cn=-Jennifer Covello,o,ou, <br /> Sinature <br /> 9 e aI _t -Ierini er(a)nwpermit.com,c=US <br /> Date;2015.12.23 16:21:33-08'00' <br />