Laserfiche WebLink
To E Page 2 0'S �014-OF-'12 '19 aP 55 (GNTI tgP94G00'.83 From Deborah Shiei�s <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDP.R STRE[T, EVERE7T, WA 98201 <br /> �25-257-8810 - �AX 425•257-8857 - www.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � SITE ADDRESS PARCEL TAX I.D.!! ERMIT# <br /> 1702 COLBY AVE 00438034603101 �/�� O `� <br /> LEGAL LOT NO. O�OCK TRACT � <br /> fiESC <br /> OWNER ADDRESS CITYILP PHONE _ I <br /> � MARY LOU OLSEN 1702 COLDY AVE Evere�198207 425-259-4909 <br /> TENANT NAME CONTACT FOR pERM1T PMONE <br /> JENNIFER COVELLO 206-774-9499 � <br /> CONTRACTOR 1A/ESCO pODRESS CITV/LP PHONE � <br /> �� 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR.�ICENSEN WASHIES97108 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK I <br /> RESIDENTIAL _e�ect�c �Gas_Olher I 750.00 <br /> WORK DESCRIPTIOY <br /> REPLACE GAS WATER HEATER <br /> I <br /> PLUMBING MECHANICAL <br /> HO. TVPE OF FIXTURE OR ITEM N0. TYPE OF FIKTURE OR ITEM <br /> _ Todel WG-a:rhandlingunus � <br /> , __ Balhtub Forced a�r systems <br /> _ lavatory(wash basin) Gas D�Pmg <br /> _ Shower � Water heater <br /> _ Kdchen s�nk 8 disposal fas fieplace ' <br /> _ D�shwasher Gasrange <br /> _ Clothes washer Clothes dryer <br /> __ Laundry tray Ranqe hood <br /> _ S�nk(service/bar/moplelc� Exbau.t lan <br /> _ �ackilow preveMer Heat pump <br /> _ Unnai — Und heater <br /> _ Dnnking Fountain Boiler <br /> __ Floor drain Refngerahon <br /> _ Grease Irap Woodstove � <br /> Roof drains Other <br /> OtNer — <br /> qTY OF EVERETT LOCAL SALES TAX CO�E IS 1105 <br /> I hereby cerilify that I have read and examined this application and know ihe same to be true and cortea All piovisions of laws and ' <br /> ord�naces govemmg this type of work will be wmphed t+�th whelher speufied herein or not The granUng o(a pertnd does not presume � <br /> to g�ve authonty to v�olate or cancel the provision of any other sta[e or local law regulalmg construd�on or the performance of <br /> construc6on. That I am authonzed by Ine owner of this pwperty to perierm the work lor which application Is made and 1 comply wilh Ihe � <br /> State Contradors Law 18 27 RCW ana 29fz.�,AA��4E ' <br /> Jennifer Covello � x��""�`b <br /> L I.� '�n a�Cuv ��4:�wXwil�ieM�•lrc <br /> "��LR'^�.Y'npmvtjvn vU5 <br /> f1..^:11'1�Y.l�S'.a.\1nA�M <br /> SignaWrc ol Owner/ConVadoriAuthonzed Agent Oate <br />