Laserfiche WebLink
PE�� :MIT APPLICATIO� . <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 /> SITE ADDRESS PARCEL TAX I.D.M E MIT p <br /> 1509 RUGKER AVE 00lf75330700500 ` �(�1,� —�'j�� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. [J-' _6 30� N��7orvs 1sT qo� To EVERETT QCK3o� �-cb <br /> OWNER ADDRE$S CITY/ZIP PHONE <br /> GR�GLY, GaLural3 D& KiMQEi2�Y � ISo9 Rvc�e AVb �RrG?'f�ybZo� lt2.5 2S2-7S66 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> 2ob 9io-l9io <br /> IV�p, G�LVM(; G2/Lf.�' E-MAIL CRILL@yAHc�o,GoM. <br /> � <br /> G KAf�►��o co��sl�e���a✓ L�� I Sb�o 6St�Avr- 5•E. sn����+ Zob 7�4� o99p <br /> CONTR.LICENSE# �RHFTELOI/RZ SNOH�M�SI� 9�i9` <br /> USE OF BUIL�ING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SINGIE FAM fZE510f✓1/AL _Electric �as_Other � J� ODo <br /> WORK DESCRIPTIUN <br /> NEW rs✓PA�e9 (3FA�'+ s>ni 2�10 S�uQ!' `�oR. NEw p/1�¢�i9iuw Wkt� Q�iwEEr✓ 1�e S�RY <br /> �jEOC��OMS . SNEEfIC..1GK /s� F[.�ne L?�'.Q�"KRnM t q��9rRl- NviN6 Ra�r. �etPcAc� <br /> 3/�iE%n��k Ai 59A�6cASG . <br /> PLUMBIP:G MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Dathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water Y�ealer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Ciothes washer Clothes dryer ' <br /> Water heater Range hood <br /> Sink (service/bar/mop/e�c.) Exhaust fan <br /> �ackBow preventer Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain Boiler <br /> Floor drain Refngeration <br /> Grease Irap Woodstove <br /> Roof drains Othv.� <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinances governing Ihis Iype of work will be complied with whe�her specified herein or not.lhe granling n(a permit does not presume <br /> Ito give authorily to violate or cancel the provision of any olher stale or local law regulating consiruction or the peAormance oi <br /> consiruclion. Tliat I ain a�thorized by ihe owner of this property lo periorm the work forwhich application is made and I comply with ihe <br /> Sta�e Contractors Law 18.27 RCW and 29�200 WAC. <br /> � ��S��,o f <br /> SignaWre ot OwnedContractodAut rized Agent Dale l <br /> z <br />