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 u - a —13 SITE ADDRESS PARCEL TAX I.D.# ERMIT# 2625 59TH ST SW 00802700001100 LEGAL LOT NO. BLOCK TRACT DESC OWNER ADDRESS CITY2IP PHONE PAUL BURLESON 2625 59TH ST SW Everett 98203 425-923-9465 TENANT NAME CONTACT FOR PERMIT PHONE _ IJennifer Burgess 206-774-9499 GnwoPPHONE CONTRACTOR WESCO ADDRESS Lynnwood 96036 800-398-46633909 196 St SW, CONTR.LICENSE#WASHIES971 OB 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 7 Forced air systems Lavatory(wash basin) _ Gas piping _ Shower _ Water heater _ Kitchen sink 8 disposal _ Gas fireplace _ Dishwasher _ Gas range _ Clothes washer _ Clothes dryer Laundry tray _ Range hood _ Sink(service/bar/rnop/etc.) _ Exhaust fan _ 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 I hereby centdy that I 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 provimn 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 296 200 WAC Jennifer Burgess Signaturee offer ontracto ut oriza b-�—