Laserfiche WebLink
i �. <br /> PERMlT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, Wl�U8201 <br /> 425•257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICAT10N3 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS pARCEL TAX I.D.N PERMIT p <br /> 1232 GRAND AVE 00409422500100 I �1��-��7 <br /> LEGAL LOT NO. BLOGK TRACT <br /> DESC. <br /> ONMER AODR CI /n NE <br /> BARBARA HARDMAN 1232 GF2AND AVE EvereH 89201 425 931-7075 <br /> TENANT NAME CONTACT FOR PERMI7 PHONE <br /> INaida Khan 360-945-2787 <br /> CONTRACTOR ADDRE55 G7Y21P PHONE <br /> WESCO Zg00 7homdykc SEATTLE 800-39�-4�G3 <br /> �o"�x,u�E"gE.WASHIES971 OB <br /> USE OF RUILDING HEAT SOURGE CONTRACT PRICE OF WORK <br /> SFR ,e�ea�� �[,ca5_ou�r I $950.00 <br /> WORK DESCRIPTION <br /> REPLACE 50 GALLON GAS WATER HEATER <br /> PLUMBING MECHANIGAL <br /> N0. TYPE OF FI%TURE OR ITEM N0. TYPE OF fl%TURE OR REM <br /> 7ollet AIC—air handlinp unit� <br /> , Bathtub Forcedairaystams <br /> ` Lavetory(wash basin) _ Gas piping <br /> _ Shawer i Weter heater <br /> � Kkchen sink 8 disposal Gas firepiace <br /> _ ��shwasher ' Gas ranga <br /> ^ Clolhac waehar Glothes tlryef <br /> __ Laundry�ray r� Range hood <br /> _ Sink(servicelbar/mopletc.) _ Exhau�tfen <br /> _ B9dctlow prevenfpr Heat pump <br /> _ Urinal tJnit heafer <br /> Drinking Fountain � Boiler <br /> , Floordraln � R�iriOeration <br /> Grease t2p � Woodstove <br /> Rootdrains � Other <br /> Other <br /> an oF eveRerr�ocµsn�Es r�x cooe is aio6 <br /> 1 hereby ceritify that I have read and ezamined this applicaUon and know the same to be true and cortect. All provislons of lews and <br /> oMinaeE9 qoveming this typC o(work will Aa rnm�liert wilh whether spadfiod horein or not.Thc granting ot e permit doee not preaume <br /> ro give aulhonry ro violate or cancel lhe provision oi any other state or Iocai law regulatinp construdion or the pe�fortn�nce of <br /> construct;o That I am authorized by the owner of tnis propeny to perto the Ac for which application is madQ and I compiy with the <br /> State C ra rs L 8 27 RCW and 296.200 WAC. <br /> � G� �v <br /> s�gnature ot r oneractovAutnorize gent at <br />