Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />PERMIT APPLICATION <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 />A-3 <br />BLOCK <br />PARCEL TAX I.D. N <br />TRACT OR 9UBDIVISION M <br />N <br />�. (//'i/ � <br />TENANT NAME I CONTACT FOR PERMIT PIIONE b60 (04 3 4 77 3 <br />Prou��.en�,e— Ae.�.l,th.�u.c'� ae���, 5tocrvl <br />E�MAIL fti�i.a�usns�yn�.o. �om <br />�— �� 360 493 417 3 <br />�a�'l��N.ve�!' S�yI) /0615 NE NwY 9`1 11�1,,,ou.uC!' u)A <br />CONTH. LICEN9E � ��� b 5 <br />Uf�A/[.—�)�•� ZC4(� <br />USE OF BUILDIN(3 <br />,u�e,�.;�..\ c.om+nu�;al <br />WORK DESCRIPTION <br />HEATSOURCE <br />_ Eteclnt ._ Gas _ Olher <br />CONTRACT PRICE OF WORK <br />�240c� <br />Rep�u.,.�ny ex;tit�ny «•b„�,c.t S��n ,a�th ne.� uZ.S�' <br />NO. I TYPE OF FI7(TURE OR ITEM <br />Tollet <br />Bathlub <br />_ Lavatory (wash basin) <br />Shower <br />Kitchen smk 6 disposel <br />Dishwashor <br />Clothes washor <br />Water Iwaler <br />Sink (serviceNar/mop%elc.) <br />5ackflow preventer <br />Urinal <br />_ Drinking Fountain <br />Floor drein <br />Grease irap <br />Roo� drains <br />Othar <br />N0. I TYPE OF FIXTURE OR ITEM <br />NC — eir hendling unlls <br />Forced eir eys�ems <br />Ges piping <br />Weter heater <br />Gas lireplace <br />Ges range <br />Clothes dryer <br />Range hood <br />E�haustlen <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeretion <br />Woodslove <br />CITY OF EVERETT LOCAL BALES TA7f COOE IS J105 <br />I hereby ceritify thet I have read end e�amined Ihis applicalion end know Ihe same lo be tme and covecl. All provislons ol le�.vs end <br />ordinecas governing Ihis type of work will be complied with whether speciliad hereln or not. The granting ol e permlt does n•�I presuma <br />lo give euthonty lo violate or cancel the provision of eny other stete or locel law raguleting construction or ihe pnrlormence ol <br />construclion. Thet I am aulhorized by ihe owner of this property to pedorm ihe work lor which application fs made end I co�.nply with Ihe <br />SIa�e1'.�ontrec�rs Law�IB 27 RCW end 296200 WAC. <br />I� � <br />