Laserfiche WebLink
� � <br /> PERMII' AP'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES �p � 8"�� <br /> 3200 CEDAP, STREET, EVERETT, WA 98201 <br /> 425-2'.i7-8810— FAX 425-257-8857—ww�d.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 8825 EVERGREEN WAY o014738 � � � � � ' �� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE55 qTY21P PHONE <br /> ABRAHAM RAMIREZ Los Potrillos same as site address 98208 425-238-9332 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTORtA/ESCO ADDRESS dTY21P PHONE <br /> V V .1 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE#WAS H I F_S97 I O B <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> commercial I _Electrlc �Gas_Other 300�.QQ <br /> WORK DESCRIPTION <br /> REPLACE GAS 90 GALLON HOT WATER HEATER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Tollet A/C—air handling uNts <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower i Water heater <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dlshwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(servicelbar/mop/etc.) _ Exhaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boi�er <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstwe <br /> Roof drains Other <br /> Other <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined thls application and knowthe same to be true and correct. All provisions of laws and <br /> ordinaces governing thistype of work wlll be rnmplied with whether speclfied herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br /> construdion. That I am authorized by the owner of this property to pertorm the wvrk for whkh application is made and I mmply with the <br /> State Contractors Law�8.27 RCW and 296.200 WAC. <br /> i", <br /> T;=.:�_� , 10/26/11 <br /> Signature of Owner/ContractodAuthorized Agent Date <br />