Laserfiche WebLink
I <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—wvw�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �O " oZ� '�3 <br /> SITE ADORESS PARCEL TAX I.D.tF PERMIT# <br /> 1801 COLBYAVE 00438036800100 rn13��` USU <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> ON7JER A�DRESS pTY21P PHONE <br /> MARGUERITA DOLMAN 1801 COLBY AVE Everett98z01 425-257-9653 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> IJennifer Burgess 206-774-9499 <br /> CONTRACTOR ADDRESS pTY21P PHONE <br /> WESCO 3909 196 St SW� Lynnwood 98036 g00-398-4663 <br /> CONTR.IICENSE N,^,AS H I ES97�OB <br /> Vv <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Residential I _Electric �Gas_Other $7rj�.0� _ <br /> WORK OESCRIPTION <br /> REPLACE 40 GALLON GAS WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A!C—alrhandlingunits <br /> Bathtub _ Forced alr systems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower i Water heater <br /> Kltchen slnk 8 tlisposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Cbthes washer _ Clothes dryer <br /> Laundry tray _ Range liood <br /> Sink(service/bar/mop/etc.) _ Exhausl fan <br /> Backtlow preventer _ Heat p�mp <br /> Urinal _ Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease trap _ Woodstwe <br /> Roof dralns _ Other <br /> Other — <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby ceritity that I have read and examined Ihis application 3nd know lhe same to be true and correct. All prwisions of laws and <br /> ortlinaces goveming thls type of work v.nll be mmplied with whether specdietl herein or noL The granting ot a permit tloes not presume <br /> to give authonty to violate or cancel the provlslon of any ether state or local law regulating�nstruction or the peAormance of <br /> construction. That I am authorized by lhe owner of this property to pertorm lhe wvrk for which application is made and I comply with the <br /> State Contractors Law 1827 RCW and 296,200 WAC. <br /> oier.rN�a��aW i�Mn�nu�un. <br /> Jennifer Bur�ess r�+�„•a���reo������ca.r�a+nxrtS�Knvi6�u.ranuiwts� <br /> I l la•��.�mail.�n�nlln�n,xTnmlixum<.Us <br /> Signature ot OwnerlContracto Authofixtl � 8fi ' ate <br />