Laserfiche WebLink
SITE ADDRESS <br />raq <br />l0T 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 />BLOCK <br />TRACT <br />PARCEL TAX I.D. p <br />%�-1 i•-O!o <br />�6c�� -orl <br />■'�_' � <br />P�DUiDenc� �Je�cT►' V`�e�- Cv�TQ 13Z�.,<c-rr ��✓� �rPz�l <br />TEN.4NT NAME CONTACT FOR PERMIT PHONE <br />S<�,� �`f I-Ie�S��✓ 3�0-333- `19 � O <br />CONTRACTOR � �' " ADDRESS CITYIZIP PHONE <br />O�a h�.. �3 cv�s�. 3Go-�3�1- 3(opo <br />CONTR.LICENSE# pi,�Mo3cp��k�'3�I3� ���Z/-�rT DQ- <br />USE OF BUILUING I <br />pijTfJ3✓T+•n IM�d�c�L <br />I��Cer�s <br />WORK DESCRIPTION n � � <br />f' <br />(�UcT t„�a�ti <br />T� <br />HEATSOURCE <br />_ Electnc _ Gas �C Olher <br />f3e�l,��aa� <br />Wl�. �7$2ZCo <br />CONTRACT PRICE OF WORK <br />�og,000 °.— <br />Gen?�<L Rc STeno.-. � Z. A�2 p.l�..�l�..ti J���i$ on Q..o(�. <br />A�✓ C O N �� r t r� G� IC O D w� S � o F F�� C S, <br />PLUMBING <br />NO. I IYPE OF FIXTURC OR ITEM <br />Toilct <br />Oalhlub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Disliwasher <br />Clolhes washer <br />Water healer <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I IYPE OF FIXNRE OR ITEM <br />Z A/C — air handling unils <br />J� Forced air syslems G/q�i%S) <br />Gas piping <br />Water healer <br />Gas fireplaco <br />Gas range <br />Clothes dryer <br />Range hood <br />Z Exhauslfan <br />� Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SAlES'fA% CO�E IS 3105 <br />I hereby cerilify lhal I have read and examined this application and knoH� lhe same lo be true and correcL All provisions oi laws and <br />ordinaces goveming lhis lype of work will bo complied wilh whelher spe:ified herein or noL The granting ot a pormil does aol presume <br />to give aulhorily lo violalo or cancel lhe provision of any olher slalo or Iocal law regulating consWction or lhe performance o1 <br />conslruclion. That I am aulhorized by tho owner of lhis property to pedor �lhe � rk tor which applicalion is made and I comply wilh lhe <br />Stale Conlraclors Law 18.27 RCW and 29�.200 WAC. <br />