Laserfiche WebLink
01-07-'08 19:22 FROM- T-094 P0�2/005 F-173 <br /> PERMIT APPLICATION <br /> CIT'f OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> q25-257-8810 -FAX 425•257-�857 -www.everettw�.org <br /> APPLICATIONS ARE ACCEP7E0 FROM 8 AM TO 4 PM <br /> SITE A�DRESS PARCEL TAX I.D.# PERMI7 N <br /> 1025 MAPIE ST 00438719200013 .Jj'�(;; -� <br /> LEGAL LOT NO. DLOCK TItACT <br /> oesc. <br /> OWNER A��fiESS CITY/ZIP VHONE <br /> DONALD HAFEY 1025 MAPLE ST, Everett 98201 425-252-A907 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Naida KhanlNortl�west Permit Inc 360-945-2787 <br /> coNrancroa WESCO ADDRESS cimzir PHONE <br /> CJNTR.LICENSE M WASH I ES971 OB 2a00 Tliorndyke Ave W Seatlle, 9819�J 206-378-6649 <br /> US[OP DUILDING IiEAT SOURCE' I CONTRACT PRICE OF WORK <br /> Residential _E�_��,� X�2�_o«,e� $95U.00 <br /> WORK DESCRIPTION <br /> Replacing a gas to gas 40 gallon water heaie� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITE-M N0. TYPE OF FIXTURE ORITEM <br /> Toiiet FVC—air handling units � <br /> Bathlub Forced air systems <br /> Lavalory(wash basin) � Gas piping <br /> Shower � Water heater <br /> wtclien sink&disnosal � Gas f�reptace <br /> Dishwasher Gas ranfle <br /> C�othes washer � Ciothes dryer <br /> Laundry tray Rango hood <br /> Sink(SeNiCe/padmop/etc.) Exhausl(an <br /> Oeckliow pravenler Heat pump <br /> � Urinal Unit heater <br /> Dnnkinp Fountain Boiler <br /> Floor drain Refrigera5on <br /> Gresse trap Woodstove <br /> Roof Crains Oiher <br /> Other <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS J705 <br /> I here6y cer�tify that I have reatl antl ex2inined this applical��n and know the same to be We and correct. FJI provisions of laws antl <br /> ordinaws poveming this typc of warA�.vill 6e complied with�ti�helher speaGed heram or not.The granting ot a permit does nol presume <br /> lo give uuthoriry to violate or cancel the provision of any other st�te or tocal la�v regulating consiruclion ur the pedormance of <br /> constn�clion.That I am awhorized by the owner of Ihis pwperty to periorm the�nork for which application is made and I comply with the <br /> Sta1e Contractors Law 1827 RCW and 296.200 WAC. <br /> �V�/1���_P�,c�� ��� �2� <br /> S�gnature o�Own�ontra orlAuthonzed Apent Date <br />� — <br />