Laserfiche WebLink
'o � Paac 6 0� 7 �014 09-30 06 50-49 (GMT) 1888a0CG�9� From i.:eborc"� Si�ields <br /> _ s � _ <br /> PEFMIT 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 I b ` �.� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1515 LOMBARD AVE 0055363�700400 � � -- �Q J <br /> LEGAL LOT NO. BLOCK TRACT <br /> DeSC <br /> OWNER ADDRE55 CITYlZIP PHONE <br /> SUE RAY 1515 LOMBARD AVE Everelt98201 4253504592 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> JENNIFER COVELLO 206-774-9499 <br /> CONTRACTOR \AlESCO ADDFESS CITY/ZIP PHONE <br /> �� 3909 196th St SW Lynnwood 800-398-4663 <br /> CONTR. LICENSE+YJASHIES97108 CITY LIC N 41349 <br /> USE OF BUIIDING � HEAT SOURCE CONTRACT PRICE OF WORK <br /> RES _ E�ectric �Gas_otner 2800 <br /> WORK DESCRIPTION <br /> RUNNING 11' 1/2" CSST TO DRYER <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEtA NO. TYPE OF FIXTURE OR ITEM <br /> Toilet AlC—air hantlling unds <br /> Bathtub Forcetl air systems <br /> Lavarory(wash basin) � Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Laundry iray Range hood <br /> Sink(service/bar/mopletc) Exhausl fan <br /> Backflnw preventer Heat pump <br /> Urmal Unit healer <br /> I _ Drinking Fountain Boiler <br /> ��. Floor drain ReGigeration <br /> �� Greasetrap Woodslove <br /> Roof drains Other <br /> Other <br /> qTY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> I hereby cerilify that I have read and examined this applicatwn and know the same to be true and correct All pwvisions of laws and <br /> ordinaces goveming this type of work will be complied with whether specified herein or not The granting o(a permit does not preswne <br /> to give authorily to violate or cancel the provision of any other state or local law regulating construction or the per(ormance o( <br /> construction. That 1 am aulhorized by Ihe avner of ihis pwperty to perform the work(or which application is made and I comply with the <br /> Slate Contradors Law 18.27 RCW and 29C�„�,Q9,��F,,��;�,�,,,.�.,, <br /> Jennifer Covello ��,:.�_.�.,.,<o.,���_,��,��.,, �.,m,.�,��,. <br /> ��.,�,.�,,,� .,�.�..m.��o,,.-,,, <br /> ..,� .�o,o,,,,M� <br /> SignaWre of OwnedCoNractorlAuthoriied Agent Date <br />