Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 -- vwvw.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCN I TMCT <br />PARCEL TAX 1.0. K <br />_...._.. ..__..___ ,.�� .,... . �.....� <br />�eln�or►+c HU�ghts t�.C� �s�� y�st��roz �� „�u�,cg (�u�3�i��n <br />TENANTNAME CONTACTFORPERMIT PNONE <br />�xctt Oc La-Ue�'yn� (y2si7s'i-�s8g <br />CONTRACTOR R _1,,,,�___ _/a <br />i3cr��wr�. <br />CONTR. LICENSE ������ aN � 9 <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�jG�SIC <br />r � <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen smk 8 disposal <br />Dishwasher <br />Clolhes washer <br />Laundry Iray <br />Sink (servlcclbarlmopletc.) <br />BackOow preventer <br />Unnal <br />Dnnking Fountain <br />Floor drain <br />Grease irep <br />Raol drains <br />Other <br />ADDRESS CITYZP PHONE�� . I�n� <br />� yS7y�St�lP�IULI�Si�J U�"�� [�%�3-�-„ <br />HEAT SOURCE CONTRACT PRICE OF WORN <br />Electric �Gas Other <br />� L>> �.�� ��� <br />1 <br />MEGIIANIGAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unite <br />T Forcad air systema <br />�Ges piping <br />Water haeter <br />� Gas fireplace <br />� Ges range <br />�Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit healer <br />Boiler <br />Refngeration <br />_ Woodstove � <br />_ Other <br />CITY OF EVERETT LOCAL 8ALE8 TA% CODE IS �106 <br />I hereby centity ihet I heve reed end examined Ihis application and know the seme to be true and corred. All provisions ol lav�a and <br />ordinaces govemmg Ihis type ol work will be complied wi�h whelher spedhed herein or noL The granting of a pertnit does nol preaume <br />lo give authonty to violale or cancel the provision ol any other steta or local law reguleting constmdion or the peAortnance ol <br />construction That I am aufhonzed hy the awner of this propaAy to per`orm the work tor which application is meda and I comply wilh the <br />State CoMractors Law 18.27 RCW end 29ti.200 WAC. <br />