Laserfiche WebLink
,- <br /> --� — �. . <br /> PEFZMIT APPLICATION <br /> CITY OF' EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �'a .,q �-�( <br /> SITE ADDRESS PARCEL TAX I.D.11 PERMIT N <br /> 4812 GARDNER AVE 00417400003402 � —� ��'( <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. — <br /> OWNER ADDRESS qN21P PHONE <br /> RICHARD LAWTON same as site address 98203 425-374-9217 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> ICyndal/Naida 360-945-2787 <br /> CONTRACTOR ADDRESS qTY21P PHONE <br /> WESCO 2g00 Thorndyke SEATTLE 800-3�8-4663 <br /> °o"rn.u�E"SE"WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> residential I _Electric �Gas_Other 950.00 <br /> WORK DESCRIPTION <br /> REPLACE GAS 50 GALLON HOT WATER HEATER <br /> rLUMBING MECHANICAL <br /> Np, TYPE OF PIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C—alr handling units <br /> Bathtub _ Forced afr systems <br /> Lavatory(vrash basin) _ Gas piping <br /> Shower i Water heater <br /> Kitchen slnk&disposal Gas fireplace <br /> Dishvrasher _ Gas range <br /> Clothes washer _ Ciothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaustfan <br /> Backtlow preventer _ Heat pump <br /> Urinal Unft heater <br /> _ Drinking Fountain Boller <br /> F�oor drain Refrigeration <br /> Grease trap ,_ Woodstwe <br /> Roof drains Other <br /> Other <br /> I <br /> qN OF EVERETT LOCAL SALES T/U(CODE IS 3705 <br /> I hereby certtify that I have read and examined this application and knowthe same to be true and correct. All prwisions of laws and <br /> or7inaces governing thistype of v�rork will be complied with whether specified herein or not.The granting ot a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating eonstruction or the pertormance of <br /> construction. That I am authorized by the owner of this property to pertorm the wnrk for whkh application is made and I comply with the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. <br /> *'.-�-:'-�.. '; 12/9/11 <br /> Slgnature oi OwnerlContractor/Authorizetl gent Da[e <br />