Laserfiche WebLink
SITE ADORESS <br />�� o rc� i� �� r <br />LEGA LOTNO. <br />DESC. <br />OW NER <br />�-� cu� l � e, 11� 2.-i <br />TENANTNAME <br />PERMIT Ai�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />'��-t oo h5 �,y � � ���o�oo <br />PERMIT M <br />BLOCK I TRACT OR SUBDIVISION R <br />1� ' 1 ADDRESS CITY2IP PHONE_�D r_�n <br />r., ��,l�oti� ►�t�s,�a�1 ��C��� �l � T�I�Ii� �1�,71 I �iz�i <br />CONTACT FOR PERMIT <br />Sr�1�,n Ne��ln��d <br />�.vn � nn�, wn ADOHE55 <br />CONTR.UCENSEg�`��i9 {�.�111� 17�1"i9C��I�IC��; �.,�� C�i'15C11L1t �� <br />WRECKBD024NU <br />use ur auaum� <br />WORK DESCRIPTION <br />+�UL'��� CC1�,�,�Il i ��"1� <br />NO. I TYPE OF Fl%TURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Uishwasher <br />C�othes washer <br />Water heater <br />_ Sink (service/barfmop/etc.) <br />Backllow preventer <br />Urinal <br />Drinkinp Fountain <br />Floor drain <br />Grease irap <br />Root drnins <br />Other <br />HEATSOURCE <br />_ E!ectric _ Gas _ Other <br />PHONE y^� _ �� n _�' � ( <br />AN�Y1l � 1 <br />�.�,�� �. ��iTcUi��i�aildt;� <br />riti� yy5-,�'��-3111 <br />CONTRAC7 PRICE OF WORK <br />� ..� .. , L � L <br />NO. I TVPE OF Fll(TURE OR ITEM <br />A/C - air handling units <br />Forced air sy;tems <br />Gas piping <br />Water heate� <br />Gas lireplace <br />Gasrange <br />Clothos dryar <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit huater <br />Boiler <br />Relrigeration <br />Woodstove <br />CITY OF EVER[7T LOCAL SALES T�1X CODE IS 3105 <br />I hereby cerilily Ihat I have read and examined this application and Ynow the same to be true and correct. All provisions ol laws and <br />ordinaces goveming this type of work will be canplied with whether specified heiein or not. The granting oi a permit does not presume <br />to give autho�ity to violate or cancel Ihe provision ol any other state or local law ie{7ulating cnnsimction or ihe performanco ol <br />cons�ruction. That I am authorizod by the owner ol lhis propehy to perform the w�in; lor which application is made and I comply w�lh the <br />Sta�o Contractors Law�18.27 RCW and 296.200 WAC. <br />�- � <br />'�' -�� � - �� ��� � , � .`. <br />Signatme of OwneUConiractoNAuthonzed Agent Oate <br />� --- � —. __. _. _ _--- - -- - -- - - <br />