Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />�- <br />TENANT NAME <br />PERMIT A.PPLICATION <br />CITY OF EVERETT PERMIT SERVIGES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />OLOCK <br />�c <br />PARCEL TAX I,D. # <br />3C'4va6t�/-�'iol <br />TRACT OR SUBDIVISION # <br />)L/f//A f�f}�2../G_ <br />�.z �-aFx. Sr <br />CONTACTFORPERMIT <br />�ERMIT # <br />l �1�-c713 <br />PHONE ZO(�'$/Q•�/f/3 <br />�/ Ke`O /� Cc/tr R/ D!� E Ci <br />CONTRACTOR ^""'""" <br />BC.u� 2i�E Co�lST- l�/[. �0 73oS<3�z �uvtte.� �'i8b� <br />CONTR. LICENSE N Zv(o • d�I•7 � 3 <br />%3L�/�2C1 `18(0✓�� <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />S%l2 I ,�Eleclric _Gas_Other ���� Z.C�' <br />WORK DESCRIPTION ��-S'�L �Q� • (� <br />NE'A.) (.�,/� ��72-/jr-iE1� /o-+.�.�N�S F <br />NO. I TYPE OF FIXTURE OR ITEM <br />4' Toilel <br />2 Dalhtub <br />� Lavalory (wash basin) <br />2 Shower <br />� Kilchen sink & disposai <br />�_ Dishviasher <br />/ Clothes washer <br />1 Water healer <br />Sink (service/badmopletc.) <br />Backtlo�v preventer <br />Urinal <br />Drinking Fountain <br />t=ioor drain <br />Grease lrap <br />Roof drains <br />Other <br />��17CNCU� <br />NO. I TYPE OF FIXTURE OR ITEM <br />� <br />� <br />� <br />A/G — air handling units <br />Forced air systems <br />Gas piping <br />Waler hea�er <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby certify Ihat I have read and examined lhis application and know the same to be irue and correct. All provisions of laws and <br />ordinances goveming this type of �vork �vill be complied �vith whether specified herein or not. The granting o( a permit does nol presume <br />�o give aulhority to violale or cancel the provision of any olher stale or local la�v regulating conslruction or Ihe performance of <br />construction. Thal I am aulhorized by lhe owner of lhis property lo perform the �vork for which application is made and I comply with ihe <br />Slale ConUa �v 18.27 RCW�296200 WAC. <br />��� ___Lo �/3 •/c� 1/ <br />c,.�,����.� nf fl�•inrdCnNreCl0dAUlhofiZed Agelli Dalc �2 <br />