Laserfiche WebLink
c <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—ww�nr.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7 �G `�I <br /> SITE ADDRESS PARCEL TAX�.D.M AERMIT• <br /> 1721 62ND ST SE o0527100000�00 - i <br /> LECu1l LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS QN21P PHONE <br /> CHRISTINE 8� JERRY MCSHURLEY SAME AS SITE ADDRESSS Everen 98203 206-786-4244 <br /> TEN/WT NAME CONTACT FOR PERMIT PHONE <br /> Cyndal/Naida 360-945-2787 <br /> CONTRACTOR WESCO ADDRESS QTV21P PHONE <br /> 2800 Thorndyke SEATTLE 800-398-4663 <br /> CONTR.LICENSE#,A,AS H I ES97�O B <br /> VY <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> residential _e�e�c��� �Gas_Other 8167.00 <br /> WORK DESCRIPTION <br /> REPLACE OIL TO ELEC 10KW FURNACE & 2.5 TON HEAT PUMP <br /> PLUMBIN(3 MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TVPE OF FIXTURE OR ITEM <br /> Toilet A/C—alr handling units <br /> Bathtub + Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Launtlry tray Range hood <br /> Sink(servicelbar/mop/etc.) Exhaust fan <br /> Backflow preventer � Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstwe <br /> Roof drains Other <br /> Other <br /> qTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritifq[hat I have read and examined th�s application and know the same to be true and torrect All prwisions of laws and <br /> ordinaces goveming this type of work will be mmplied with whether specilied herein or not.The granting of a permit tloes not presume <br /> to give authonty to violate or cancel the provision of any other state or local law regulating mnstruction or the pertormance of <br /> construction. That I am authorized by the owner of this property to pertorm the wvrk for which application is made and 1 comply wdh the <br /> Siate Con[racrors Law�827 RGW and 296200 WAC. <br /> T__'-:-_. 7/6/11 <br /> SlgnaWre of OwneUContractorl uthorized Agent ate <br />