Laserfiche WebLink
08-22-'08 15:07 FROM- T-877 P063/0B3 F-493 <br /> �. � <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 g ...a.7--Oa <br /> SITE ADDRESS � PARCEL TAX I.D.M PERf.AIT ft <br /> 4928 ELM ST I 29043600408800 M(,`6()�-U3� <br /> LEGAL L07N0. BLOCK TRACT <br /> OESC. <br /> OWNER ADDR83S CITV2IP PHONE <br /> DWIGHT R MALOT7 4928 ELM ST F.VERE7T/982G3 425-252-3617 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-?787 <br /> CONTRACTOR 1A/ESC�O ADOREES CITY2IP PMONE <br /> "� 2800 Thorndyke SEATTLE 206-378-6649 I <br /> coNra.ucENse�WASHIES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFf� I _Eledric �Gas__Other 950.00 <br /> WORK UE3CRIP�ION <br /> REPLACE A GAS TO GAS 50 GALLON WATER HEATER <br /> PLUMBING MECHANICAL <br /> �. NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FU(TUR[OR ITEM <br /> Toilet AIC—air handling units <br /> Balhtub Forced air systems <br /> _ Levatory(wssh basin) _ Gas piping <br /> Shower i Water heater <br /> Ktchen sink&disposal _ Ges 6roplece <br /> � Dishwasher ces ranpe <br /> Clothes washer Clothes dryer <br /> � Laundry tray _ Range hood <br /> Sink(servicelbar/mop/etc.) Fxheust fen <br /> � Backflow preventer � Heat pump <br /> Urinel Unit heater <br /> _ �rinking Founlain _ Bdlet i <br /> Floor drain Refrigera6on <br /> � Grease trap _ Woodstove <br /> Roof drains Olhar <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 510b <br /> I hereby cerili'y that I hava read ana examined Ihis appiicstion a,id know the same to be true antl corred. All prm�isions of laws end <br /> ordinaces governing this rype of work will be complied wilh whether spedfied herein or not.The granling of a permit does not presume <br /> lo give authoriry to vioiate or cancel the provision o(any other state or local law regulating construclion or the pedortnance of <br /> construc�on.Thel I am authorized by the ovmer ol this property to perform the work tor whieh application is made antl I wmoly w�lh tha <br /> Stale Contradois law 18.v CW and 29�.200 WAC. <br /> � �' ��- og <br /> Signewre o wnei/C tt ctor/Aulhonzed gent a <br />