Laserfiche WebLink
SITE ADDRESS <br />5620 LOWELL <br />LEGAL LOTNO. <br />JEAN DEMING <br />TENANT NAME <br />PERMIT APPLICATION <br />CITY OF E,VERETT PERMIT SERVICES <br />3200 CEbAR STREET, EVERETT, Wq gg201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATiuNs ARE ACCEPTED FF�OM 8 AM TO 4 PM <br />OLOCK <br />CONTRACTOR1AfESCO <br />VV <br />CONTR. LICEN9E# WASI I�E5,97� �B <br />lJSF OF BUILDING <br />SFR <br />WORK DESCRiPTION <br />F'hRCEL TAX I.D. M <br />00495z00801700 <br />TRACT <br />5620 LOWEL� RD <br />CONTACTFORPERMIT <br />Naida Khen <br />ADDREgg <br />2800 Thorndyke <br />NtiAT50URCE � � <br />�,Electric �Gas„Other <br />Replace gas to gas 50 gallon 40,000 btu water heater <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bath�ub <br />Lavatory (wash basin) <br />� Shower <br />^ Kitchen sink & disposal <br />Dishwasher <br />� Clothou waaher <br />� Laundry tray <br />' Sink (service/badmop/etc.) <br />� eackflow preventer <br />Ufinal <br />� Dnnking Fountain <br />Ploor drain <br />� Grense trap . <br />Roof drains <br />Other <br />e��Ktt sezos 425-353-6514 <br />PHONE <br />360-945-2787 <br />CI7Y21P PHONE <br />SEATTL� 800-398-4483 <br />CONTRACT PRICE OF WORK <br />Y I I 1, <br />NO. I TYpE OF FIXTURE OR ITEM <br />_ NC—airhandlingunits <br />Forced air systems <br />Gas piping <br />+ Waterheater <br />_ Gas fireplace <br />` Gas range <br />� Ciotnes tlryer <br />_, Range hood <br />_ F�chaust fun <br />, Heatpunip <br />Unit heater <br />_ 8oiler <br />Retngc�alion <br />_ Woodstove <br />� Olher <br />G�T' OF EVERET7 I.00AL SAL6a^ TAX CODE IS 9105 <br />I hereby cerltlfy that I have read and examined this application and know the same to b5 irue and correci. AII provisions of laws and <br />ofdinaCes gOVeminp this fypr nfwork vnll be mmpliad with whcthcr 9pecified herein .,r nol. The granting O(a p@rtnit tloBS nOt Prgsurtle <br />to give authority to vlolata or cancel the provision of any alher state or local law mgula(ing consWc�ipn or the petformance of <br />construction. Tbet I am aulhorized by the awner of this property ro pedorm the worlc for whicb applicatian is made and I compiy with the <br />State Contractoi, �aw 18.27,.RCW and 2ss.2tln WAC. <br />ll��l�-'1 <br />