Laserfiche WebLink
l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �j `�d �`� <br /> PARCEL TAX I.D.M PERMIT M <br /> SITE ADDRE55 _ <br /> 2632 RIICKER AVE o043916150160o I < < <br /> LEG4L LOTNO. BLOCK TRACT <br /> DESC. aTr�Z�p pMONE <br /> OWNER ADDRESS <br /> MADRONA ASSUCATION II, LLC SAME AS SITE ADDRESSS Everett 982G1 425-319-1555 <br /> CONTACT FOR PERMIT PHONE <br /> TENANT NAME 360-945-�'87 <br /> Cyndal/Naida <br /> CONTRACTOR ADDRESS pTY21P PHONE <br /> WESCO 2g00 Thorndyke SEATTLE 800-39g-4663 <br /> co►me.uceNse«WAS H I ES971 OB <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> COR1fT12fC18� _,Elettric �Gas_Other $�0�.�0 <br /> WORK DESCRIPTION <br /> REPLACE GAS 80 GALLON HOT WATER HEATER (boiler room) <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> AIC—alr handling units <br /> _ Toilet Forced air systems <br /> 8athtub Gas pipfng <br /> Lavatory(wash ba;.in) � Water heater <br /> _ Shower Gas fireplace <br /> _ Kttchen sink 8 dlsposal — Gas range <br /> ,_ Dishwasher Clothes dryer <br /> _ Clothes washer Range hood <br /> _ Laundry trey Exhaustfan <br /> _ Sink(servicelbar/mop/etc.) — Heat pump <br /> Backflow preventer Unit heaMr <br /> Urin�l Boilef <br /> _ Drinking Fountain — Refrigeration <br /> Floor drain Woodstwe <br /> Grease trap Other <br /> Roof drains — <br /> — other — <br /> q7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritity that I have read and examined this application and know the same to be true and correct. All praisions of laws and <br /> ordinaces goveming thistype of work will be rnmplied vnth whether spetlfied hereln or not.The grantlng ot a perrtrt does not presume <br /> to give authority to vioiate or cancel the provlsion ot any other state or local law regWating construction or the peAormance of <br /> construction. That I am authori:ed by the owner ot this property to perform the worR for whkh applicadon Is made and I camply wRh the <br /> Smte Contractors Law 18.27 RCW and 296200 WAC. <br /> �;_'_:.-� , 6/9/11 <br /> Signature o ner/Contractor/ uthortzetl gent ate <br />