Laserfiche WebLink
RPR-29-2011 12:14 FROM:C8M HEATING 425-745-1344 <br />` <br />SI7E ADDRESS <br />LOT <br />T0:14252578857 P'2'4 <br />PERMIT APPLICATION <br />CI7Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.arg <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />PAHCEL TAX �I.O, Ji <br />BLOCK I TRACTORSUBDNISIONN <br />�{—�--�� <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />i�e.b.12 i� . 4� Zs�i lo�� G� <br />a�m�nq Iv�e_ 1�&�cad�.;zE.y 5£a,�-r�tt'W��Bzol ��2�ce�� <br />CONTR.LICENSE• . <br />USE OF BUIIDING <br />WORK DESCRIPTION <br />MEAT SOURCE I CONTRACT PRICE OF WOFiK <br />, Electric i/Gas _ Other 5�'J�(e � (� <br />�G�,C'� �12C) fia-n1G w� � <br />��a,�.. � �"�a,�.�. . <br />N0. I TYPE OF FfXiURE OR ITEM <br />Tollet <br />Bathtub <br />Lavatory (wash b251n) <br />ShDWC� <br />Kilchcn sink & disposal <br />D15hwasher <br />Clothes washer <br />Water healer <br />Slnk (sorvice/barlmop/etc.) <br />Beckfiow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />proasc Uap <br />Raat drelns <br />Other <br />NO. <br />�� <br />TYPB OF FlXTURE OR ITEM <br />A7C - air hanCling units <br />Forced air systems <br />Gas piping <br />WOler h081e� <br />Gas fireplace <br />6as range <br />Clothes dryer <br />Ranpehood <br />Exhaustfan <br />HBatpUDtG <br />Unit heater <br />Boiler <br />Refriperatlon <br />Woodstove <br />Other QGT�(d� <br />CITY OR EVERlTT LOCAL SALES TAX CODF IS 3105 <br />I hereby cerlN(y that I have read and ezamtned this applicatlon and kno•v the came to be true and corract. AII provistons of laws nnd <br />ordlnaces goveming this type o� Work will be complied with whothvr specHied herein or not.'fho yrantiny of a perm8 dcea not presume <br />to glve authority to violate or cancel Ihe provision ot any other stale or Iocai law regulating construction or the perlormAnce of <br />constructlon. That I am authorized by the awner of thfs properry to peAorm the wor� for which appllcaHon is mada and I oomply with the <br />SIaM Contractors Law 1827 RCW and 296200 WAC. <br />1%OYlhc`Q. 1'�1�� o.ts[� �1-2`i • I i <br />