Laserfiche WebLink
PERMIT AP�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — �vww.everettwa.org <br />APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />5105 DOGWOOD DR <br />LEG�L LOfNO. BLOCK <br />ULS� <br />JACKLUTEN <br />TEIJMJT NA�ilE <br />CONTRACTOR \AlE S C O <br />VV <br />CONTR. LICENSE K WASHIES971 OB <br />USE OF BUILDING <br />RES <br />WORF( DESCRIPTIO�J <br />PARCELTAXI.D.# <br />ooaosa22ao�000 <br />TRACT <br />5105 DOGWOOD DR <br />CON7ACT FOR PERhdIT <br />Jennifer Burgess <br />ADDRE55 <br />3909 196 St SW, <br />HEATSOURCE <br />_ Eiectnc � Gas _ Other <br />REPLACE 40 GAL GAS WATER HEATER <br />lJO. I TYPE OF FIATURE OR ITER1 <br />Todet <br />Bathtub <br />lavatory p+ash basin) <br />Shower <br />KitChen Sinh 8 tli5p05a1 <br />DisMvasher <br />Clothes �vasher <br />laundry tray <br />Smk (service/barlmop/etc.) <br />BaCkllOw pfeVentBf <br />_ Unnal <br />Drinking Foun�ain <br />Floor drain <br />Greasc irap <br />ROOf dra1115 <br />OthCr <br />NO. <br />PERrruT tt <br />Evereu 9820t 425-��2-41 10 <br />PHONE <br />206-774-9499 <br />d7V21P PHONE <br />Lynnwoatl ?E03b 800-398-4603 <br />CONTRACT PRICE OF WORH <br />$750 <br />NPE OF FIXTURE OR ITEPd <br />A/C — av nantlling unit; <br />Farced av systems <br />Gas piping <br />Wdter heater <br />Gas hreplace <br />Gas range <br />Clothes dryer <br />Rangehcod <br />Ezhaustfan <br />Hcat pump <br />Unit heater <br />Doticr <br />Refngr.rat�on <br />Wootlstove <br />CIN OF EVERETT LOCAL SALES TAX CODE 151105 <br />I hereby centity that I have read and exammed this appticahon and know the same lo be true and correct All provi5ion5 of lav+s antl <br />ortlmaces goveming th�s type oi work �+nll be complietl ��th whether speufied herem or not The granLng ot a permrt does not presume <br />to give authordy to vlolate or cancel the provision of any other siate or Iocai law egulating construct�on or the peAormance of <br />conslruction That i am authonzetl by lhe owner of this property to perform the work for wh�ch appl�caUon �s made and � comply wdh lhe <br />SWte Conlractors La�v 1Q 27 RCW antl 296 ZOO WAC <br />c�;ex�i •�q..�a ov a�nio nm.�s� <br />Jennifer Burqess ����•.���Oentl�,Gnirri�FnR.l5laRkn.cu=�oRtnnut_ <br />�UW iL �.nmi.�mnJn{m.v�mnacT aV5 <br />Signature ot OwneUContracto Authon_ad�;y -n "" " � Date <br />