Laserfiche WebLink
PERMIT APPLI�ATION <br /> ClTY OF EVERETT PERMIT SERVICI=S S�;� <br /> 3200 CEDAR STREET, EVERE"fT, WA 98201 �J <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITe ADDRESS PARCEL TAX I.D.# PERMIT tf <br /> 1031 Ho tAve ooasss2lsoo�oo �, �;-io .-� _�, ,� <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. LOTS 1 2 8 S1I20F 3 gLK 216 D-00- HEIGHTS ADD TO EVERETT <br /> OWNER AD�R[SS CITY2IP PHONE <br /> Susan Handy 1031 Hoyt Ave Everep 98201 425-259-6874• <br /> TENANT NAME CONTACT FOR PERMR PHONE <br /> IMelissa Groda 360-945-2787 <br /> CONTRACTOR IA/ESCO ADDRESS CfTY21P PHONE <br /> �� ff p 2800 Thornd ke SEATTLE 206-378-6649 <br /> CONTR.LICENSE#�A IAS�I ES.771 O U � <br /> YY <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> ' SFR Eloctric �Gas Olher <br /> — 950 00 <br /> WQRK DESCRIPTION <br /> Replace gas to gas 50 gallon 40,000 btu water heater <br /> PLUMBING MECHANICAL <br /> NO. TYPE DF FIXTURE OR ITEM N0. TYpE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air handling units <br /> __ BalhWb Forcedairsystems <br /> __ Lavalory(wash basin) Gas piping <br /> _ Shower i Waler healer <br /> __ Kitchen sink&disposal Gas fireplaco <br /> _ Dishwasher Gasrange <br /> _ Clothas washcr Clothes dryer <br /> _ Laundry Iray � Range hood <br /> __ Sink(servicelbar/mop/otc.) Exhaust fan <br /> i = Backflcw preventer _ Heat pump <br /> Urinal Unit healer <br /> __ Drinking Fountain Boilor <br /> _ Floor drain Refrigeration <br /> __ Greaso Irap Woodstove <br /> _ Root drains Olher <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3f05 <br /> I hereby ceritify Ihal I havo road end examined ihis applicalion and know ihe same to be lrue and wrrect. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whelher specifed herein or not Tho granting of a permit does not presume <br /> lo give authority to violale or cancol the provision of any other stato or local law regulaling consWcUon or the pertormance of <br /> construction.Thal I am authorized by the owner of this properly to perform the work for which apolicalion is made and I comply with tho <br /> Stalo Contractors Law 18.27 RCW and 296 200 WAC. <br /> � r i>iLL�� ✓�// �/ <br /> SignaWro of OwnedContractodAulhonzed Agent ' Date <br />