Laserfiche WebLink
PERMIT APPLRGATION y s> <br /> � � <br /> CITY OF EVERETT PERMIT BERVICES ��u <br /> 320D C[DAR STREET, EV[F[TT, WA 98201 <br /> 425•257-8810- FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a �S � b `J <br /> SITE ADDRESS PARCEL 7AX I.D.It pERM1T# � <br /> 1618 Colb Ave 00438034102300 /1Q �?,� � 3 <br /> � IEGAL LOTNO. BLOCK TRACT <br /> O[SC. <br /> �� OWNER AD�RE53 CIiY/ZiP PHONE <br /> Ed Morrow 1618 Colby Ave 98201 425-252-5242 <br /> i TENANT HAME CONTACT FOR PERMIT PMONE <br /> � Melissa CrodalNorthwest Permit inc 360-945-2787 <br /> ICONTRACTGbt IA/�SCO ADDRE55 CITYlZIP PHONE <br /> VV <br /> I coHrrc.uceNser WASHIES971 OB 28p0 Thomdyke Ave W seame, se�ss 206-378-6649 <br /> I <br /> � USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Residential I _Electric X Gas_Other I �'4,25�.�0 <br /> WORK OESCRIPTION � <br /> ' Replace a gas to gas 40 gallon water heater. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toitet A/C-air handling units <br /> Dathtu6 Forced air cyslems <br /> Lavalory(wash basin) Gas piping <br /> Shower � Water heater <br /> Kitchen sink&disposal _ Gas freplaoe <br /> I = Dishwasher = Gas rengc <br /> Clothes waEher Clothes dryer <br /> Laundry trey _ Range hood <br /> Smk(service/badmop/etc.) _ Exbaust fan , <br /> , Flackflow preventer _ lie�l pump � <br /> Urinal Unil heater <br /> � Drinking Fountain _. �oi!er <br /> i"loor drain Refrigeration <br /> Grease trep Woodstove <br /> Roof drains Other . <br /> Othar <br /> I — <br /> CITY OF EVERETT LOCAI SALES iAX CODE IS 3106 <br /> I hereby centify that I have read and ezamined this application and know the same to 6e true and wrred. All provisions of laws and <br /> ordinaces goveming this type o�work will be complieA with whether specified herein or not.The grenting ot a permit does not presume <br /> ' to give authonty lo violate or cancel the provision of any other slale or tocal law regulaung wnstrudion or the peAortnance of <br /> conswction.That I am aulhonzed by the owner of this property to pedorm ihe work for which application is made and I wmply with the <br /> State ContraCors Law 1827 RCW and 296.200 WAC. <br /> 7' !%�*rc'i-� "Z/"Z /� <br /> '� Signature of Owner/Contreclor/Authonzed Agent Date' -- - - � <br />