Laserfiche WebLink
� � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-881 D— FAX 425257-8857—wv✓�a.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �y�a„y/�� <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT k <br /> 1503 COLBY AVE ooa753309oozoo m _ <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS QTVTP PHONE <br /> KELLY MERCIER same as site address 98201 425-238-9332 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CON7RACTOR 1A/ESCO �DRESS ON21P PMONE <br /> VY 2800 Thorndyke SEATTLE 800-398-4663 <br /> coNTx.uceNse«WAS H I ES971 OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> residential _e�ea��� �Gas_Other 42$$.�0 <br /> WORK DESCRIPTION <br /> INSTALL GAS 60K BTU FURNACE W/40' GAS PIPING <br /> PLUMBINC� MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet PJC—air handling units <br /> Bathtub + Forced alr systems <br /> Lavatory(wash basin) + Gas piping <br /> Shower water heater <br /> Kttr.hen sink&disposal Gas tireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.j Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unft heater <br /> Drinking Fountain Boiler <br /> Fioor draln Refrigeration <br /> Grease trap Woodstwe <br /> Roof tlrains Other <br /> Other <br /> dTY OF EVERETT LOCAL SALES TPX CODE IS 3105 <br /> I hereby certtify that I have read and examined this application and knowthe same to be true and correct. All prwisions of Iaws and <br /> ordinaces governing this type of Hrork wil;be complietl with whether speci}ied herein or not.The granting of a permit Ooes not presume <br /> to give authority to violate or cancel the provislon ot any other state a local law regulating mnstruction or the pertormance of <br /> construction. That I am authorized by the owner of this property tc pertorm the work for whkh application is made and i comply wRh the <br /> State Contractors Law 1827 RCW and 296.200 WAC. <br /> � <br /> f_.`.-==1 . ���26��� <br /> Slgnature ot OwnerlGontractor Autl�or zetl Agent Date <br />