Laserfiche WebLink
PE�i�lllll" APPLICATlQ� <br />CITY OF EVERETT PERMIT SERVICES <br />32UU CEDAR STREET, EVERETT, WA 982U1 <br />425-257-881 D- FAX 425-257-8857 - www.everettwa.org <br />— APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # --7 <br />�� nI �`�� F_UGtiG.t�E� •�I J— �? �j��z I <br />LEGAL LOT NO. BLOCK TRACT DR SUBDIVISION :i <br />DESC. <br />� K/aG/�G <br />TENANT NM1E <br />LI �i.E / ,Kc-.i. <br />-aaaTrsn�ra <br />i.,�Cci� � ��S % E/L1 S <br />CONTR. LICENSE A <br />�./(i c�,�.J S i O <br />USE OF BUIL01�lG <br />�I.3�' G✓vIGG.��ECi�� C�(F <br />CONTACT FOR PERMIT <br />%EIZIl� ��,'i� <br />�t-/�`� `-1 I 3 `I (�C, S C <br />,—,Z �a - •� �- v� <br />HEA SOt1RCE <br />Electric Gas Other <br />W ORK DESCRIPTION <br />_!-NS //�l L(� �G/! �G� c- Le��c�S <br />NO. I TYPE OF FIXTURE OH ITEM <br />Toilet <br />Bathtub <br />Cavatory (wash basin) <br />J�IUWLi <br />Kitchen sink 8 disposal <br />Dishwesher <br />Clothes washer <br />Water heater <br />Sirii< (seivicc.bar�mop'c:c.) <br />Bar.kflow preventcr <br />llrinal <br />Drinking Fountain <br />Floordrain <br />G�oasr. trop <br />Roof drain��_��_ <br />Other <br />� �1'-o g � <br />s �soa-o� <br />P RMITp <br />�o�aa oo�� I <br />� <br />HONE pvco.-G-c',i <br />-�ZZ <br />CEi��N �j�'� �`-� <br />PHON[ yzy _ y�,�—y�751 <br />� I <br />E•MAIL �LUi �Cd.'�C�fSfl.r1)t'( <br />HJ�--��-1�-�4ti7 <br />/lij � C. � C!2 C-c- lC� �v! <br />�l � <br />I CONTRACT PRICE OF WORK <br />� �. <br />/, S lJ CJ �_ <br />NO. I TYPE OF FI%TUflE Ofl ITEM <br />A�C - �ir h2ndling units <br />- Forced air systems <br />Gas Uit»ng <br />tiVatei heatei <br />Gas fireplace <br />Gasrangc <br />Clothes dryer <br />Ran�e hood <br />E:.haust fan <br />Heat punp <br />Unit hcater <br />Boil^r <br />Refngeration <br />Wnod>'ov^ <br />CITY OF EVERETT LOC/U. SALES TAX CODE IS 3105 <br />I hcr^hy cr,ri!ity iha! I havr. mad anA ex,�minr.d!hir, app;ic^'ia� and kno:v!hr. s�m^'o h^!ru^ and corrr.c'. All prov ,ions of latvs and ' <br />ordinaces governing Ihis type of work will be complied with whether specilied herein or not. The grantin� of a perrnit doe� not presume I <br />:o give authoriry to violate or cancel the provision ot any other state or local law regulating consWction or the pe�tormancr. o( i <br />construction. 1 nat I am authorized hy the o�mer ol thls property to pmtorm the work tor which applicafion is made and I comply with me <br />Sia[c Contractors Law 78.27 RGW and 296.200 WAC. <br />Siynature of Ownr.r/ConlractodAuthorized Agent Da[e ,' <br />"L I <br />