Laserfiche WebLink
Oct 20 2010 12:34PM West Seattle Furnace 206 935-0735 P.3 <br />PERMIT APPLICATION <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 S AM TO 4 PM <br />SIJE ADDRESS <br />. <br />"\1 <br />PARCEL TAX I.D. • <br />PER T t <br />LrGA14 LOT NO. <br />BLOCK <br />TRACT OR WBDIVISION0 <br />DESC. <br />OWNER ADD ITYIZIP <br />`O( <br />-rcn <br />TENANT NAME �CONTACT` PE IT PHONE `xl <br />a�1 E-aiuL <br />l r.q �18 <br />CONTROSEer-\1(lA <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Electric _ Gas _ Other <br />�Q r O �> LJ <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF cIXTU RE OR ITEM <br />Toilet <br />_ <br />A/C - air handling u n is <br />_ <br />Bathtub <br />_ <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />_ <br />Shower <br />Water heater <br />_ <br />Kitchen sink 8 disposal <br />_ <br />Gas fireplace <br />_ <br />Disinvasher <br />__ <br />Gas range <br />_ <br />Clothes washer <br />_ <br />Clothes dryer <br />_ <br />Water heater <br />_ <br />Range hood <br />_ <br />_ <br />Sink (servioe.barimopletc.) <br />= <br />Exhaust fan <br />Hoot <br />_ <br />Backfov pmventer <br />purnp <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />_ <br />Grease trap <br />Woodstove <br />_ <br />Roof &ains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE 19 3106 <br />1 hereby certify that I have read and eHamlred this app l;;aton and know the same to be true and correct. All pro�iaicns of laws and <br />ordinances guverrung this type of work will be compiled with whether specified herein or nct. The gran ing of a pernil does not presume <br />to iva author ty to violate or cancel the provision of any other state or local law regulating corstructon or the par4nmance of <br />ruction. That I am authorized by the owner of this property .o perform the work for which applicat on is made and I comply with the <br />State Contractors Law 1b.27 R 'W and 296.200 WAC. <br />�-l- <br />Slg too ellcnntractor/Aut onze gent —Date— <br />