Laserfiche WebLink
P��tMIT APPLICATiON <br />CITl( OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — v�nNw.everettwa.org <br />SITE ADDRESS <br />10327 19TH PL W <br />LEGAL LOT ��. <br />DESC. <br />DON DE MERCHANT <br />TENANTNAME <br />CONTRACTOR WESCO <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTR. LICENSE #, I�,AS H I ES 97 � O B <br />VV <br />USE OF BUILDING <br />SFR <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />00710300001400 <br />TRACT <br />6-- 6-i► <br />PERMIT # <br />1� IlD(�' <br />SAME AS SITE ADDRESSS Everen 98204 425-353-8996 <br />CONTACT FOR PERMIT <br />Naida Khan <br />ADDRESS <br />2800 Thorndyke <br />HEATSOURCE <br />_ Electric � Gas_ Other <br />INSTALL DAII<IN DUCTLESS HEAT PUMP SYSTEM <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (vrash basin) <br />ShOwer <br />Kiichen sink E disposal <br />Dishwasher <br />Clothes washer <br />Laundry� tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />PHONE <br />360-945-278? <br />qN21P PHONE <br />SEATTLE 800-398-4663 <br />CONTRACT PRICE OF WORK <br />5142.00 <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/G — dlf har• iling units <br />Forced air syster.•s <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />E3oiler <br />Refrigeretion <br />Woodstwe <br />Other <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All prrn!sions of laws and <br />ordinaces goveming this type of work will be complietl with whether specilied herein or not. The granting of a permit tloes not presume <br />to give authority to violate or cancel lhe provision of any other state or local law regulating mnstruction or the pedormance of <br />construc[ion. That I am authorized by the owner of this property to perform the wnrk for which application is made and I comply wdh the <br />State Contractors Law 1827 RCW and 296.200 WAC. <br />-� -= 6/E/ 11 <br />Signature of Owner/Contractor/Authonzed Agent Date <br />