2625 59TH ST SW 2016-01-01 MF Import

PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810— FAX 425-257-8857—www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM SITE ADDRESS PARCEL TAX I.D.# PERMIT# C 2625 59TH ST SW 00802700001100 IVI 1304-005 LEGAL LOT NO. BLOCK TRACT DESC OWNER ADDRESS OTY21P PHONE PAUL BURLESON 2625 59TH ST SW Everett 98203 425-923-9465 TENANT NAME CONTACT FOP PERMIT PHONE Jennifer Burgess 206-774-9499 CONTRACTOR WESCO ADDRESS Lynnwood 98036 PHONE 800-398-4663 1I3909 196 St SW, y CONTE LICENSE#WASHIES9710B USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK Residential _Electric Gas_Other 3447.15 WORK DESCRIPTION REPLACE 80K GAS FURNACE PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM _ Toilet _ A/C—air handling units Bathtub 1 Forced air systems Lavatory(wash basin) _ Gas piping Shower _ Water heater Kitchen sink 8 disposal _ Gas fireplace DishwaGas range _ Clothes swasher _ Clothes dryer _ Laundry tray _ Range hood _ Sink(servicetbar/mop/etc.) _ Exhaustfan _ Backflow preventer _ Heat pump Urinal _ Unit heater Drinking Fountain _ Boller _ Floor drain _ Refrigeration _ Grease trap _ Woodstwe _ Roof drains _ Other Other CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 hereby cerdity that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinates governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application Is made and I comply with the State Contractors Law 18.27 RCW and 296�WrAACw awn n,.a. Jennifer Bur ee5S rM nMMnlvpeNo•Ix PR1MSIRPW1,au•UPIIM751 M . 'K 6Fgn-5T—ur—eot OwnericontractorlAUThorizedDate