Laserfiche WebLink
SITE ADDRESS <br />� <br />LEGAI. LGT NO. <br />DESC. <br />OWNER <br />TENPNTNAME <br />PERMIT APPLICATION <br />CITY QF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCY I TRACT OR SUBDIVISION S <br />CONTACT FOR PERMIT <br />PHONE <br />/ 7 —fJ2 � <br />PER IT _ � 1 <br />6�'Z _ 0 <br />J. /^ I 1' ?-_:i i•1 i� � L U Y' 1 ��\ E-MAIL �`'� ��--� —%��7 =/_ <br />�_� i� �. Gi C�-�) � r��� 1 <br />CONTRACTOR ,r. ADDRESS / CITYIZIP PHONE <br />.f YY/'; ^ ��C .��Yi i �T'L�1.�,'rJ � �7 /% / l : ��.f; /. =��,r ��fF. i O � � �2f'-/ � L �"l7 <br />CONTP.. IICENSE # � <br />r;-�:;� <br />USE OF BUILDING <br />HEAT SOURCE <br />EleGric _ Gas _ Other <br />��f� �r� <br />CONTRACT PRIC[ OF WORK <br />I fir.�• ;:G <br />WORKDESCRIPTION ^�r``� �,��, _���� r- [, � J-,_c�i�[�� <br />{-��rL �ItvJ3)�_�%U7 � /J �{-Ca4 <br />NO. I TYFE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory Qvash basin) <br />Shower <br />Kitclien sink & disposal <br />Dishwasher <br />Clolhes washer <br />W aler heater <br />Sink (servicelbar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Ofher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling urits <br />Forced air syslems <br />Gas piping <br />Waterheater � i <br />Gas fireplace ^_, �l � <br />Gas range � \� I r' / � <br />Clolhesdryer �� l� <br />Range hood ! ��/" �� � <br />Exhaustfan <br />= Heat pump � „ 1 ��.�, <br />Unit heater ��J <br />Boiler <br />Refrigeration /�V <br />Woodsiove ��(A' J <br />CITY OF EVERETT LOCAL 54LES TAX CODE IS 3105 <br />I hereby cerit�fy thal I have read and examined this application and �.now the same lo be true and correcl. All provisions of laws and <br />ordinaces governing lhis type ot work will be complied wilh whelhar specifed herein or not. The granting of a permit does not presume <br />to give aulhoriry to violate or cancel the provision o( any other stale or local law regulaling conslruction or the per(ormance of <br />conslruclion. Thal I am authorized by ihe o�vner of this property to perform the work for which application is made and I compty with the <br />Stale Conlraclors Law 18.27 RCW and 2�JG.200 WAC. <br />r;��c .ii_ I'%- t -bY <br />� �UfC O� Owf18flGOfllfBCIOf/HUlf10fA`:0 H jenl �� « �� <br />y <br />