Laserfiche WebLink
SITE ADORESS <br />3116 54TH ST SW <br />LEGAL LOT NO. <br />DESC. <br />JILL DAY <br />TENANT NAME <br />CONTRACTOR 1A/ESCO <br />vv <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />00396700401700 <br />BLOCK I TRACT <br />CONTR. LICENSE #\ A/AS H I E S 97 � O B <br />VV <br />USE OF BUILDING <br />residential <br />WORK DESCRIPTION <br />PERMIT if <br />SAME AS SITE ADDRESSS Everett 98203 425-512-2503 <br />CONTACT POR PERMIT <br />vndal/Naida <br />ADDRE55 <br />2800 Thorndyke <br />HEATSOURCE <br />_ Electric � Gas_ Other <br />REPLACE GAS 50 GALLON HOT WATER HEATER <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen si.�k & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/barlmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof tlrains <br />Other __ _ <br />PHONE <br />360-945-2787 <br />pTV21P PHONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />950.00 <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />� <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaustfan <br />Hea[ pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstrne <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and esamined this application and know the same to be true and correct. All prwisions of laws and <br />ordinaces goveming this type of vrork will be compliea with whether specrfied herein or noL The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the pedormence ot <br />construction. That I am auihorized by the owner of this property to perform the work for which application is made and I compty wRh the <br />State Contractors Law 1827 RCW and 296200 WAC. <br />�, _ <-=_ 9/'i 3/ 11 <br />Signature of OwnedContractor/Authorizetl Agent Date <br />