Laserfiche WebLink
P�RMlT A�PLICATI4Id <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 88201 <br />425-257-0010 — FAX 425-257-Bf357 — www.everettwa.org <br />APPLICATIONS ARC- ACCEPTGD fROM 8 AM TO 4 pM <br />SITE AD�RESS Pl1RCEL TAX I D. # <br />I -� A-� � / <br />LEG�L LOT N0. DLOCK TRACT <br />DESC. <br />ON'NER A��RE53 <br />Ro�! , J��c .3�1 � I�,�/�� <br />7ENANiNAME r I CONTAGTFORPCRMR <br />CONTRACTOR <br />CONTR. LICENSE � <br />USE OF BUIL�INO <br />WORI� DESCRIPTION <br />PERMIT # <br />„ <br />�, �, � � -� ��T <br />P Ft10NE <br />,� �2`s� <br />2 ' PMONE <br />T�rO d SYC'W�s IN� ADDRESS CITY2IP PHONE <br />Y /SOS �1sks�s�,,i �3�.(Mell U��9802/ <br />�'� �-'-CrOF <br />NO. I TYPE O� fUCTURE OR ITEM <br />BoLhlub <br />Lnvnlory (wosh basin) <br />ShowCr <br />KilJien sink & dispoeal <br />Dishvrasher <br />Glothea washer <br />Laundry tray <br />Sinl: (service/barlrtwpielcJ <br />BackAow preven�er <br />Urinal <br />Dnniting FouMain <br />Floor drain <br />Grease «ap <br />Ronf �lrwins <br />G(hCf . ___ __ <br />HEATSOURGE <br />_ Eled.nc _ Gas _ Other <br />�s.�'T Q`i-� <br />CON7RAGT PRICE Of WORK <br />� 3� 6. �� <br />NO. I TYPE OF FUCTURE OR ITEM <br />A/C — afr hnndling units <br />Forcod air syatomc <br />_ Gas piping <br />WAICf hCBif!f <br />_ Gaxfreplaca <br />_ Gas range <br />CloiAea dryer <br />_ Ranga hood <br />_ Exhnust(on <br />Hea! pump <br />U��Ii healur <br />� 8oiler <br />_ Hn(riqnralion <br />Vvbc.asmve <br />other <br />GITY OP EVEHETT LOCILL SALES TAJC COOE IS 9105 <br />I hert+by r,erNfy Net � nave reatl antl exAninetl tnis epplication end know the same to bo we nnd cortact. .NI provisions ot lavrs and <br />ordmaces 9ovem1n01his lype of work v✓�II he complied hith whether specified herein or not.'f ha qraMin9 of a pamiil does nol presume <br />to pive aidhonry to viol cancol Uie provision of any olher state or local law repulating construdinn or tne performance o( <br />crostrudioi Thal t1� rizr.d Iry the owner of this pmperty lo pedorm 1he vmrk for which appiiwpon is made and I compty with the <br />St�te Cont ctors 27 RCW end 2fi6.200 WAC. <br />-' - ,n176a� <br />,".�,�,��� .��-r�a ,-.�'I -:J�15.', i_r:� '-��r�l� et_1_'�CBt'SCt�i �n ..�_ �i��iZ/97;.f_i <br />