Laserfiche WebLink
PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVI�ES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —wvwv.everettwa.org <br /> APPLICA't IONS ARE ACCEPTED FROM 8 AM TO 4 PM I— I U —��j <br /> SITE ADDRE55 PARCEL TAX I.D.# I PERMIT# , � <br /> 1219 41st Street oo59G20010�000 �� �C.� l � ��--' <br /> LEG�AI LOT P'O. ELOCK TRACT <br /> DESC. aTy2�p pHONE <br /> OWNER ADDRESS <br /> Janette Parent 1219 41 st Street Everett 982G1 253-310-6533 <br /> TENANT NAM[ CONTACT FOR PERMIT PHONE <br /> INaida Khan 360-945-2787 <br /> cowTRacroR Home Depot At Home Services AooRess arnziP PHON: <br /> 14a Counry Line P.d, #101 PACIFIC 800-381-5699 <br /> CONTR.LICENSL# HOMED"`*972RQ <br /> USE OP BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> SFR _Electric _Gas_Other $6854.00 <br /> VJORK DESCRIPTION <br /> REPLACE 16.3 SQUARES OF COMPOSIT� ROOFING. NO PLYWOOD <br /> REPLACEMENT. <br /> . . PLUM6WG MECHANICAL <br />� �'� ' NO. TYPE OP FIXTURE OR ITEM NO. TY?E OF FIXTURE OR ITEPd <br />�,�'.�i,i <br /> t����..'? A/C–air hand ing units <br /> • v Toilet — <br />�•�-�'��-,, '' _ Bathtub _ Forcetl air=.ystems <br /> Lavatory (wash basin) _ Gas piping <br /> Shower _ Witer heater <br /> Krtchen sink& disposal _ Gas fireplace <br /> Gishwasher _ Gas range <br /> Clothes washer _ Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/etc.} _ Exhaustfan <br /> Backflow prevenler _ Heat pump <br /> Urinal _ Unit heater <br /> i Drinking Fountaln _ Boder <br /> Floor drain _ Refrigeration <br /> Grease trap _ Woodstwe <br /> Roof drains _ Other <br /> Other — <br /> — I <br /> CIN OF EVERETT LOCAL SALES TFJi CODE IS 3105 I <br /> I hereby ceritify that I have read and examined this apphcation and know the same to be true and wrrect. All pro��isions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or noL The granting oF a permit do2 a not presume <br /> to give authoriry lo violate or cancel the provision of any other state or local law regulating mnstruction or the performance of <br /> construction. That I am aulhorized by the owner of this property to perform Ihe work for whkh appiication is made ar,d I comply wrth the <br /> S[ate Contractors Law 1827 RCW antl 296200 WAC. pigically,igned by Naida Khao <br /> �' . DN:cn=NaidaKhan,o=NathwestPcrmlt <br /> nInc,ou,email=naida��nwpermltcom, <br /> Signature of Owner/Contrector/Authonzed Agent � e r-US <br /> �atc:2013.01.13 20:50:57-08�00' <br />� : � <br />