Laserfiche WebLink
To Peimit Cepartment Page 2 oi 71 2014•09•10 OS 18 54 (G'dT) 108Ba000383 From Ueborah Stveltls <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 — FAX 425-257-8857 — www.everetlwa.org <br />SITE ADDRESS <br />921 RUCKER AVE <br />�rcnt LOT NO. <br />DESC <br />DENNIS SCHAFFERT <br />TEHANTNAME <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOLK <br />CONTRACTOR 1A/ESCO <br />VV <br />CONTR.LICENSE� WASHIES971 OB <br />USE OF 6UILDING <br />SFR <br />WORK �ESCRIPTION <br />REPLACE GAS WATER HEATER. <br />N0. I TVPE OF FIXTURE OR ITEM <br />i ione� <br />pathtub <br />Lavatory (wash Lasin) <br />Shower <br />Kitchen sinR & disposal <br />Dishwasher <br />Clotnes wosher <br />_ Laundry tray <br />S�nk (servicc/bar/mop�etc � <br />6achllow preventer <br />Unnal <br />Dnnking Fountain <br />Floer drain <br />Grcasetmp <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />00385417400900 <br />TRACT <br />9?_1 RUCKER AVE <br />CONTACT FOR PERMIT <br />Naida Khan <br />AODRE55 <br />3909 196th St SW <br />HEATSOURCE <br />_ Eleanc � Gas _ O�her <br />NO. <br />[ve�etl 98201 <br />arvmP <br />Lynnwood <br />PERMIT q <br />PMONE <br />425-259-4372 <br />PNONE <br />360-945-2787 <br />?NONE <br />800-398-4663 <br />CONTRACT PRICE OF WORK <br />$750 <br />MECHANICAL <br />TYPE OF FI%TURE OR ITEM <br />A/C - air hantll�ng umts <br />Forced air syslems <br />Gas piDmg <br />Water henter <br />Gas fireplace <br />Gas renye <br />Clothes dryei <br />R�nge hood <br />Eah, ust Inn <br />Heat pump <br />Unit hcaler <br />Bodcr <br />Rclnqcratwn <br />Woodstoae <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hereby cen6n� that I have read and examined thls opphcation and know the same to be lrue and cortect A�I provlsions ot laws and <br />ordinaces govemmg Ihis type of work a�ll be complied vn�h whelher speafied herein or nol The aranGng ot a permd does not piesume <br />to give authonty to violale or cancel the prowsion of any other state or local law regulating conslrucUon or �he pedormance of <br />construclion. That I am authorized by ihe owner of this property to Oertorm the work lor which apptitation is maae and 1 wmply wdh the <br />Stale CoNractors Law 18.27 RCW and 25f'i 200 W�C. <br />1 [NJY�IIy �WnM ty IbIL ITm <br />A1�]IA'1 ���lYl UHm-NnIJ�Mino.WNwqlfr�milzN <br />