Laserfiche WebLink
v <br />PERMIT APPLICA'TION <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 />SITE ADDRESS �" Wa pARCEL TAX I.D. k <br />IboS 5� �.v��'� i • oZz895� <br />LOT N0. � BLOCK � TRACT OR SUBDIVISION q <br />DESC. <br />�j �- 2� �-'-/Z% <br />--.._.. -'--"--- -- -._.. . --- <br />S-�cx.r�c�cv_s c'.of�'ee �zoo iS��1veS,Sie loo .�-��e,9bi;¢ 2r6-510-14s3 <br />TENANT NAME I CONTACT FOR PERMIT PHONE �...ZL>-88 I—?��.'7 <br />���'%Cle$ ���i V1�f A'�QW A � <br />c.uen �7�%WaI�PCN1eChall <br />_V..�.��, McGhaniCa� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />Re�.� <br />WORK DESCP:IPTION <br />884 c I S2"d it� hlE <br />��/ <br />HEATSOURCE <br />_ Electric ✓�Gas _ Olher <br />Redrnonol/q8os2 d��-881-32�7 <br />CONTRACT PRICE OF WORK <br />�'� 65-71 �on <br />Rexnove c�� F-epla[e a-�.led I'a�-�iop �Lic�ag� c��`-I-. <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BatMub <br />Lavarory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Poof Jrains <br />Other <br />NO. I TYPE OF FIXTURE OR REM <br />� A/C — air handling uni[s <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas tireplace <br />Gas range <br />Clathes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Bailer <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CO�E IS 3105 <br />I hereby certity that I have read and examined this application snd know the same to be true and correct All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision oi any other state or local law regulating consiruction or the performance of <br />construction. That � am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors L�w 18.27 R¢W and 296.200 WAC. <br />G I22/2o IU <br />