Laserfiche WebLink
To: E Page 2 of 3 2016-01-05 16:04:17 (GMT) 18884000383 From: Deborah Shields <br /> -10 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 /> 4704 W VIEW DR 00605800002300 i <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> WILLIAM ERICKSON 4704 W VIEW DR Everett 425-252-2429 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Maida Khan 360-945-2787 <br /> CONTRACTOR Washington Energy SVCS Co, LLC ADDRESS CITY/ZIP PHONE <br /> CONTR. LICENSE# Wt1 3909 196th St SW Lynnwood 800-398-4663 <br /> R�����4CD51 NS <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electric Gas_Other 950.00 <br /> WORKDESCRIPTION <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 i 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 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 /> 1 hereby certify 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 Contrt, ,� ^ , 7 W and 295?00 WAC <br /> .� +� Z.igl�Ilv iy rlY I ni(e:r G?vclW <br /> QR <br /> � � ;� UN cr JenrlFrrl Gelb.e,:+u.email=jennrfern:vperrnr.com,c=US <br /> •tom ` 1p, D,,:2016.01 0508C,3,19 0800' <br /> Signature of Owner/Contractor/Authorized Agent Date <br /> 00 <br />