3417 FEDERAL AVE 2018-01-02 MF Import

12-10-'08 15:44 FROM- T-162 P003/003 F-8, PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 - www.everettwa.org APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM 1 z-10-102 SITE ADDRESS PARCEL TAX I.D. 11 PERMIT a 3417 FEDERAL AVE 00437582800800 C' 3 LEGAL LOTNO. BLOCK TRACT DESC. CHRIS FORGY 3417 FEDERAL AVE EVERETT, 9e20, 425-252-9810 TENANT NAME CONTACT FOR PERMIT PHONE INaida Khan 360-945-2787 CONTRACTOR WESCO Y2IP ADDRESS CITPHONE V V 2800 Thorndyke SEATTLE 206-378-6649 CONTR. LICENSE A 1A' ^ 11J SH � ES97 i OB USE OF BUILDING V HEAT SOURCE CONTRACT PRICE OF WORK SFR i _ Electric t/- Gas —Other 7597.00 WORK DESCRIPTION IF 1 REPLACING A GAS TO GAS BRYANT 80K BTU FURNACE NO. I TYPE OF FIXTURE OR ITEM _ Bathtub Lavatory (wash basin) Shower Kitchen sink & disposal Dishwasher Clothes washer Laundry tray Sink (service/bar/plop/etc.) Backflow preventer _ Urinal _ Drinking Fountain _ Floor drain _ Grease trap _ Roof drains Other NO. I TYPE OF FIXTURE OR ITEM A/C — eir handling units Forced air systems _ Gas piping Water heater _ Gas fireplace _ Gas range Clothes dryer Range hood _ Exhaust fan _ Heat pump Unit heater Boiler _ Refrigeration Woodstove CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby certify that I ;lave read and examined this application and know the same to be true and correct. All provisions of laws and ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give autnority to violate or cancel the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for vdlich application is made and I comply with the Slate contractors a v 1A.27 RCW and 25 LOU WAC. r Nw_ l VL- 12- (, U U� Signature of Owner/Contract r uthrued Agent Date