Laserfiche WebLink
SITE ADDRESS <br />909 BroadwaY <br />LOT NO. <br />PERMIT A�PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />PARCEL TAX I.D. q <br />29057700200100 <br />BLOCK TRACT <br />DESC.f I Townshin 29 Section 17 Ranoe 5 Fast <br />OWNER ADDRESS CITYRIP PHONE <br />Providence Health Care Svstem E�erett, 916 Pacific Ave, Et�erett, WA 98206 <br />� � c� �3 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Providence Material I Jennifer Wriaht 2 Wri4ht Roofina, Znc• 253-472-3321 <br />M�n-�rto.�.�n4 Rn+�A' <br />CONTRACTOR ADDRESS CITY2IP PHONE <br />ca�ca��E�p�ina, Inc. 6035 South Adams/YO Box 9339 Tamma, WA 96409 <br />USE OF BUILDING <br />Office/Warehouse <br />WORK DESCRIPTION <br />See Attached - 350 SQ <br />NO. I TYP[ OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry Iray <br />Sink (servicelbarlmopletc.) <br />B�ckflow prevenier <br />Urinal <br />Drinking Founlain <br />Floordrain <br />Grease trap <br />Roof drains <br />Other <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />$221,000.00 <br />NO, I TYPE OF FIXTUR[ OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas pipinc� <br />Water healer <br />Gas fimplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Uni1 healer <br />8oiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CO�E 151705 <br />I hereby cenliy that I have read and examined this application and know the same lo be true and correct. All provisions of laws and <br />ordinaces governing ihis type of work will be complied with whelher specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel tho provision of any other stale or local law regulating construclion or the performance of <br />construction. That I am authorized by the o�vner of this property to pedorm Ihe work (or which application is made and I comply with the <br />State Conlra�tors�baw lEa'Y RCW an�296.200 WAC. <br />06/21 <br />