Laserfiche WebLink
To E Page 2 of a <br />2015.11.13 20 21 51 (GMT) <br />18884000383 From Deborah Shields <br />r-- — <br />• <br />• <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERLT T, WA 98201 <br />425.257-8810 — FAX 425.257-8857—www.everettwa Org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. 6 PERM <br />310 N CABOT RD 00393300005500 111►/1` LJ l(l�I� <br />I <br />LEGAL LOT NO, <br />BLOCK <br />TRACT <br />OESC <br />OWNER ADDRESS CITYIZIP PHONE <br />ANNA HOGAN 310 N CABOT RD Everett 9820, 4253485931 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />INaida Khan 360-945-2787 <br />CONTRACTOR Washington Energy Svcs Co, LLC ADDRESS CITYIZIP PHONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />CONTR. LICENSE F W /1 SHI ES851 r,1S <br />r1J .7 V V <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />SFR I _Electric Gas —Other 11483.50 <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 — _ - AfC — au handling units <br />_ <br />Bathtub Forced air systems <br />_ <br />_ Lavatory (wash basin) Gas piping <br />Shower I Water heater <br />_ <br />Kitchen sink 8 disposal _ Gas fireplace <br />_ <br />Dishwasher _ Gas range <br />_ <br />Clothes washer Clothes dryer <br />_ <br />_ Laundry tray Range hood <br />_ Sink (servicelbaumop/etc) Exhaust tan <br />Backrlow preventer Heat pump <br />_ <br />Urinal Unit heater <br />_ <br />_ Drinking Fountain Boiler <br />Floor drain Reldgeialion <br />_ <br />_ Grease trap _ _ Woodstove <br />Roof drams Other i <br />Other___ _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I hereby cenhty that I have read and examined this application and know the same to be true and correct All provisions of laws and <br />ordinates 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 stale 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 />oril <br />7 CW and 298 f2I0l o0rWhwAYCe•l.S- 'arn, 1"d b. ah•[m4+ra•<sa, rrnbex.Nnnbrnrprr,xirw• •.l� <br />IaC• <br />l OnzElgnaturB Agent at <br />