Laserfiche WebLink
PEI�MIT �►PPLlCATION � �o� <br /> CITY OF EVERETT PERMIT SERVICES <br /> �J� <br /> 3200 CEDAR STREFT, EVERE7T, WA 98201 <br /> 425-257-8810— FA1:425-257-8857—www.evcrettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3 -- J -07 <br /> SITE ADDRESS � PARCEL TAX I.D.�F PERhJIT# <br /> 1901 Lombard Ave #B 00437938300100 ,�,�, 1 C > - � <br /> LEGAL LOTNO, BLOCK TRACT <br /> oesc. LOTS 1 &2 BLK 383 D-00 EVERETT DIV K PLAT OF - <br /> OWNER ADDRESS CITYIZIP PHONE <br /> Jerry Parker 1901 Lombard Ave #B Everett 982�1 206-369-5048 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Melissa Croda 360-945-2787 <br /> CCINTRACTOR IAIESCO A��RESS CITVILP PHONE <br /> �� �f 2800 Thorndyke SEATTLE 206-378-6649 <br /> CONTR.LICENSE#1�/AS H�ES.771 O B <br /> VV <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFf� _Electric ✓ Gas__other I 750.00 <br /> WORK DESCRIPTION <br /> Replace gas to gas 40 gallon 40,000 btu water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Tollel AJC—airhandlingunits <br /> ___ Balhlub Forced air systems <br /> _ Lavalory(wash basin) Gas piping <br /> Shower i Water healer <br /> Kilchen sink&disposal Gas freplace <br /> _ Dishwasher , Gasrange <br /> _ Cbthes washer Cbthos dryor <br /> _ Laundry lray Ran�o hood <br /> Sink(service/bar/mopletc.) Exhaust fan <br /> _ Backflow prevcnter Heat pump <br /> Urinal Unit heater <br /> Drinking�ountain Boiler <br /> _ Floordrain Refric�eration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Othar <br /> CITY OF EVERETT LOCAL SALES TAX LODE IS 3105 <br /> I heroby ceriti(y Uiat I have read and examined thic application and know the same to be true and correr.L All provisions of laws and <br /> ordinaces goveming this lypo cf work will bo complied�,vith whether specified herein or noL The granling of a permlt doos not presumo <br /> to givo authonty to violate or cancel the provision of any other state or local law regulating construction or the porformance of <br /> construction. Thal�am authorized by tha owner of this properry to perform the work(or which application is made and I comply wilh the <br /> Stale Conlraclors Law 16.27 RCW and 296200 WAC. <br /> T .-r%��� �/�a'/� <br /> Signature of OwnedContractorlAulhorized Agent Date <br />