Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />� <br />PERMIT APWN..ICATION <br />CITY OF EVERETT PE�MIT SERVICES <br />3200 CEDAR STREET, EVEREi-f, WA 98201 <br />425-257-8810 - FAX 425257-8857 - www.evereHwa.org <br />APPLCATIONS ARE ACCEPTED FROM 8 A!d TO 4 PM J�% i <br />BLOCK <br />� <br />PARCEL TAX I.D. @ <br />P�2AAIT# <br />R-0b�+�so� t�ro pa�ti4s 56a s����Yctt Mai 1 wa�., s�� ��� A��� �•c,H a S a� <br />�pH;•�E CONTACTFORPERHR PHONE <br />Grass (loa�s Ou��Qaor I '�a�� '1�4,'c£vso,�. CH�s�3�a-Soy� <br />CONTRACTOR ADDRESS CITY�P PHONE <br />(�pollo N"��,�v�. q$oo iia�boar �lacc,Sv'�'��. aoS,N��,Ft�o a$a7s <br />USE OF BUILDING <br />0 <br />WORK DESCRIPTION <br />�,y�5ta11 �1����`urv�\r�a'�'4cQ <br />Obta�� (�irW�i�F'�4-K\S' <br />HEAT SOURCE <br />_ �ecUic _ Gas _ Other <br />CONTRACT PRICE OP WORK <br />.� I y, ooD °� <br />1i'i�S.YS�Gt 0.� W�..St ��iVb'� ar <br />��� 1�-t��4t o,., Nor-1-i. 21��.,��'�o�, '�tis�ailcd <br />NO. � TYPE OF FlXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />IGkhen sink & dsposal <br />Dishwasher <br />Ciothes washer <br />Laundry Vay <br />Sink (servicelbadmoplela) <br />Badctlow preventer <br />Urinal <br />Drinking Fauntain <br />Floor drain <br />Graasv Irap <br />Rocf drains <br />Other <br />NO. I 7YPE OF FlXTURE OR tfEM <br />A/C — air han�ing units <br />Forced air systoms <br />� P�P��9 <br />Water heater <br />Gas fireptaee <br />Gasrange <br />Clothes dryer <br />Ranga hood <br />F�cheust fan <br />Heat pumP <br />Uni[ heatsr <br />eoaer <br />ReBigeratian <br />Woodslove <br />Other <br />C(iy OP EVERETT LDCAL SALES TH7C CODE IS 3105 <br />I hereby ceritify that I have read and examined Ihis appiiwlion and know the same ta ba We and cortecL Ail provisions of laws and <br />ordinaces govoming Ihis lype of v.qrk wiil be candied wilh whether sped(�ed Merein or not The granGng of a permit does not presuma <br />to give authority to violale w nncel the prwision of any other stale or loml law regulafing consWcGon w the perfortnance of <br />construclion. That I am authorized by Uie owner oi lhis property to perfortn the woric for wtuch appliratlon is made end 1 compiy with Ihe <br />State�onlradors Law 18.27 RCW and 796200 WAC. <br />l�� <br />