Laserfiche WebLink
�. <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a_�7— �'3- <br /> SITE ADDRESS PARCEL TAX I.D.K PERMIT# <br /> 4918 ELM ST 29043600409100 a —da� <br /> LEG4L LOT NO. BLOCK TRACT <br /> DESC. <br /> ONRJER ADDRE55 qTV21P PNONE <br /> DAVID W SMITH same as site address 98203 425-258-3389 <br /> TENIWT NAME CONTACT FOR PERMIT PHONE <br /> I Cyndal/Naida 360-945-2787 <br /> CONTRACTOR �A/ESCO ADDRESS CITY2IP PHONE <br /> �� 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE M WASHIES97 1 OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Residential I _Electric �Gas_Other $2rjQ.QQ <br /> WOFK DESCRIPTION <br /> Gas to Gas change out of a 50 Gal Water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OP FIXTURE OR ITEM <br /> Toile[ AIC—alr handling units <br /> Bathtub Forcetl alr systems <br /> Lavatary(wash basln) _ Gas piping <br /> Shower � Water heater <br /> Kitchen sink&tlisposal _ Gas fireplace <br /> Dishw<+sher _ Gas ranga <br /> C�othes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.) _ F�chaustfan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boller <br /> Floor draln Refrigeratlon <br /> Grease trap _ Woodstwe <br /> Roof drains Other <br /> Other <br /> qTY OF EVERETT LOCAL SALES TW(CODE IS 3705 <br /> I hereby ceritify that I have read anu examined this application and knowthe same to be true and correct. Ail prwisions ot laws and <br /> ordinaces governing this type of work will be rnmplied with whether specified 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 oonstruction or the performance of <br /> construdion. That I am authori:ed by the owner of this property to pertorm the work tor whkh application is made and I mmply with the <br /> SYate Contractors Law 18.27 RCW antl 296.200 WAC. <br /> T;:'-:•-� ; 02/17/2012 <br /> Signature of OwneUContracror/ uthorizetl Agent ate <br />