Laserfiche WebLink
—� �. <br /> PERMIT APPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREE"i, 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(.��-�� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 1811 LOMBARD AVE 00438236400500 ��p —O-�jg <br /> LEGAL LOT NO. BLGCK TRACT <br /> DESC. <br /> OWNER � ADDRESS QTY21P PHONE <br /> MARY GLEASON SAME AS SITE ADDRESSS everett s82o1 425-334-3421 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ELISHA FOG ICyndal/Naida 360-945-2787 <br /> CONTRACTOR WESCO ADDRESS qN21P PHONE <br /> 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE H WAS H I ES97 I OB <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> residential _e�e�c��� �,Gas_Other 7rjQ.QQ <br /> WORK DESCRIPTION <br /> replace 40 gallon hot water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathtub Forced air systems <br /> Lavat�ry(wash basin) Gas piping <br /> Shrnver i Water heater <br /> Kitchen slnk&tlisposal Gas tireplace <br /> Dishwasher Gas range <br /> Cbthes washer � _ Cbthes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountaln Boiler <br /> Floor drain Refrigeration <br /> ! Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> � <br /> CITV OF tN�'�ETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined thi;application and know the same to be true and correct. All prwisions of laws and <br /> ordinaces govetning this typo of work w�ll be cron:plintl with whether specified herein or not.The grenting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating wnstruction or the performance of <br /> construction. That I am authorized by the:owner of this property to pertorm the work for whkh application is made and I comply w�h the <br /> Sfate Contrectors Law 18.27 RCW and'196.20C WAC. <br /> T;'-:-,. 6/24/11 <br /> Signatu�e of Owner/ContractodAut1o�izetl n!�ent Date <br /> � <br /> ��. <br />