Laserfiche WebLink
ADDRESS <br />� <br />TENANTNAME <br />CONTRACTOR <br />�! <br />�-. <br />CITY OF�EVERE PP R1MIT�SERObICES g`aS�-�6 I <br />3200 CEDAR STREET, EVERETT, WA 98201 �� �o�_ ,J�,` <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM e 11 D1 �!—�I <br />�;c-.� �r�ve_ o <br />BLOCK TRACT <br />S <br />/ll�Ilr{. <br />CONTR.LICENSE# ����BF�, r73� <br />B�ILDING <br />n �k � -ar�+F�,- -1 �.�rr�� <br />WORK DESCRIPTION <br />/�l�.W ��(Ul(,1�� _—�-�,..; l�.�i,.._t. <br />Np, I TYPE OF FIXTURE OR ITEM <br />Toilel Il' <br />Bathlub�� <br />Lavalory (wash basin)15 <br />Shawer <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clo�,hes washer <br />Water heater <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other _ <br />PARCEL TAX I.D. N <br />�o5i7oo�C27c� <br />42S• 39 �.1165 <br />��'„��,,�Si, �,�1 (v2s��3a-�733 <br />PERMIT �('zs� ,�52 EYoiC D <br />ADDRESS /���/'� CITY2IP <br />l <br />��15 La� G�, ia�c S��ens, <br />HEAT SOURCE <br />_ Electric �, Gas _ Other <br />PHONE <br />�'� ( �IZS�9�-47�8 <br />CONTRACT PRICE OF WORK <br />� J 7 .�f� /f � <br />TYPE <br />A/C — air handling i <br />Forced air syslems <br />Gas pipiny <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhausl fan �// <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES T 4X CODE IS 3705 <br />�i. <br />;'Ull • ;. <br />_, . =- <br />2o'rUli�u�.i <br />r <br />1 hereby cerilify that I have read and examined this applicalion and know the same to be true and cortecL All provisions of laws and <br />ordinaces governing lhis type of work will be complied with whether specified herein or not. The granting o( a pertnit does not presume <br />to give authority lo vio�ate or cancei lhe provision of any other slale or Iocal law regulating construction or the performance of <br />construction. That 1 am aulhorized by the owner of this property to perform the work (or which application is made and I comply with the <br />Stale Contraclors Law.18.27 RCW and 296.200 WAC. � � <br />i <br />--},� � /���� j's <br />- - � -o �I � <br />