10304 MERIDIAN AVE 2016-01-01 MF Import

F� cRMIT APPLICAT�'vN CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810— FAX 425-257-8857 SITE ADDRESS PARCEL TAX I.D.# PERMI7 w 10304 Meridian �mD� �b�"Cb�,7 LEGA LOiNO. BLCCK TflACT DESC. OWNER ADURESS ZIP PMONE John Welch 10304 Meridian 98208 425-353-9160 TENANTNAME I CONTACTNAME PHONE CONTRACTOR AUDRESS ZIp CONTR.UCENSE M All Climate Heating 6 A/C 14715 N.E. 95th Unit B Redmond 98052 ALLCLHAOOOCB PHONE 425-746-3077 PROPOSED USE OF BUILDING Bui�ding Ll Mechanical Addition HEAT SOURCE PERMIT R Combinalion � Plumbing WORK R Alteration R Electric TYPE D Demolition Sign TYpE R New �.J Gas U Sprinkler U Repair/Mainl. U Other CONTRACT PRICE OF WOqK ��n � CITY OF EVERETT LOCAL SALES TA%COUE IS 3105 WORK DESCRIPTION install gas fireplace insert PLUMBING MECHANICAL NO. TYPE OF fIICTURE OR ITEM N0. TYPE OF flXTURE OH fTEhl _ WATER CI.OSET _ A/C-A/HANDLING UNITS _ BATHTUB _ FORCED AIR SYSTEMS � _ LAVATORY(WASH BAS�N) _ HEAT PUMP � _ SHOWER ._ UNIT HEATERS _ KITCHEN SINK 8 DISPOSA� _ CLOTHES DRYER _ DISHWASHER _ RANGE HOOD _ LAUNDRY TFAY _ WATER HEATER _ CLOTHES WASHER METAL FIREPLACE/STOVE _ URINAL �_ FIREPLACE INSERT _ DRINKING FOUNTAIN ,_ GAS FIREPLACE _ F100R DRAIN GAS RANGE __ BACKFLOW PREVENTER _L GAS PIPING _ SINK(SEFiVICE/BAR/MOP/ETC.) _ EXHAUST FAN _ OTHER _ OTHER I HEFEBY CERITIFY 7HAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND COflRECT. ALL PROVISIONS OF IAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHEfHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF :ONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION i.^; MADE AND�COMPLY WITH THE STATE CONTR TORS LAW 1827 RCW AND 296.200 WAC. J +�'�f�Z� 2-25-03 S�y� ture o Owner/Contractor/Aulhonzed Agent Date