Laserfiche WebLink
P�RMIT APPLICATIt,N <br />CITY O� EVERETT PERMIT SERVICES <br />32J0 CEDAR STREET. EVERETT, WA98201 <br />425-257-8610 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 Alf TO 4 PM <br />SITE ADDRESS <br />3� zo ��eimo,�e Av�e-��.� <br />LOT NO. I BLOCK I TRACT <br />DESC. <br />t'� � RS i P�A P"rl s-r c HiJ�'. c f+ <br />TENANTNAME <br />CONTRACTOR <br />PARCEL TAX I.D. # <br />�..g-o7 <br />PERMIT M <br />5�7oi-oo3 <br />yl � ' <br />ib�b F��a-,c ���uE LS�r-ti16� <br />CONTACT FOR PERMIT PHONE <br />� R2 5 �- ,•✓�c z `i>� - 3s 3--3�-� � <br />ADDFESS <br />CITYIZIP PHONE <br />Ma��J MEn�� 6923 c�r--br��� �..��Y �ran•-C�T Uz� <br />CONTR.LICENSEM�_ Su ��- A_ '3'j3-S-�t.�-� <br />A7Ai,✓�� �d'(OT2 �7jtv� <br />USE OF BUILD�NG HEAT SOURCE CONTRACT PRI('E OF WORK <br />� 22 �.� <br />�) �(�r� �./ _ Electric _ Gas _ Other , <br />WORK DESCRIPTION <br />i1/%'� r: G C G Ti?� (fiZ <br />fd✓� r3C!ic-v, n.'�.;- <br />�L�=UGiG L�%J�''�� <br />i i��a�lT�.=.�i� i� u,J <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shoc�er <br />Kitchen sink & disposal <br />Dishwasher <br />Clo�hes washer <br />Laundry Iray <br />Sink (servicelbar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Root drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas ranc�e <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit hea�er <br />Boiler <br />Refrigeration <br />Woodstave <br />CITY OF EVERETT LOCA'. SALES TAl( CODE IS 3105 <br />I hereby cerilify thal I have read and examined Ihis applicalion and know the same to be true and correcL All provisions of laws and <br />ordinaces goveming this lype of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give aulhorily to violate or cancel Ihe provision of any other state or local law regulating conslruclion or the periormance of <br />construction. That I am authorized by the owner ollhis property lo perform Ihe work for which application is made and I comply with the <br />Stale Conlraclors Law 18.27 RCW and 296.200 WAC. <br />.,> _�i % G:' - � -�� <br />�IZ <br />