Laserfiche WebLink
., r ev., v .,� n <br />SITE ADDRESS <br />2121 VIRGINIA AVE <br />LEGAL LOTNO. <br />�ESC <br />LYNN DOZE <br />TENANTNAME <br />CONTRACTOR �AIESCO <br />VY <br />...�.n...,>.o.�eoouion��i �nnn+ono�ea r,.�,.. o..�,��..�.��....�.�. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-E3810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5- ao -► 4 <br />BLOCN <br />GONTR. LICENSE r WASH I ES971 OB <br />USE OF BUILDING <br />Res <br />WORK DESCRIPTION <br />REPLACING 80K GAS FURNACE <br />PLUMBING <br />NO. I TVPE OF FIXTURE OR ITEM <br />Totlet <br />Bathlub <br />Lavalory (wash basm) <br />Shower <br />Kdchen s�nk 8 disposal <br />D�shwasher <br />Clothes washer <br />Laundry iray <br />Sink (;ervice/badmop7etc ) <br />dacktlow preventer <br />Unnal <br />_ Drmking Fountain <br />Roor dfdin <br />Grease trap <br />Rool drains <br />Olher <br />PARCEL TA% I.D. 1J <br />0040t544301100 <br />TRACT <br />2121 VIRGINIA AVF <br />CONTACT FOR PERMIT <br />JENNIFER COVELLO <br />1V1 �40S - o�l <br />Everen sezot 425-314-7570 <br />PHONE <br />206-774-9499 <br />ADDRESS CITY/LP PHONE <br />3909 196th St SW Lynnwood 800-398-4663 <br />HEATSOURCE <br />_ Eleqnc � Gas _ Other <br />CONTRACT PRICE OF WORK <br />4710.00 <br />MECHANICAL <br />N0. I TYPE OF FIXiURE OR I7EM <br />NG — au hantllm9 unds <br />Forcetl air sys�ems <br />Gas piping <br />Water heate: <br />Gas fiieplace <br />Gas rarge <br />Clothes dryer <br />Range hood <br />E�haust lan <br />Heat pump <br />Unrt heatcr <br />DoJer <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS ]105 <br />I here6y cenhly Ihat 1 have reatl anA examined Ihis applicaLon and know the same to be true and correct All pwwsions of laws and <br />ordinaces goveming this rype of work vnll be ccmplied with whelher specified herein or nol The granLng of a permd does not Cresume <br />to oive au�hority to violate or cancel �he prowsion o� a�y olher state oi local law mguladng construdion or the performance of <br />cons[ruction That t am aulhorized by Ihe owner of ihis property to pertorm ihe work for which appliwtion is ma0o antl 1 comply wdh the <br />Stale roNraclors Law 1B 27 RCW and 29f.�Q��(�;,,,,,�„�,��,� <br />Jennifer Covello ��..... � "`�."��.'.m.°,"�,�°���. <br />.:��-o.�.ror^.ro...io...._vs <br />r.. �o v �o« e <br />S�gnature of OwnedContraclor/Authonied Agent Date <br />