Laserfiche WebLink
FROM :E�ergreen State Hedt 8 R� FRX N0. �4252596660 Dec. 08 2010 12:�SPM P1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-BB10 - FAX 425-257-885' - wvaw.everettwa.org <br />APPLIGATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. p <br />LOT NO. � BLOCK I TRACT OR SUPPIVISION f <br />PERMIT M <br />N <br />U9E OF <br />NFJ1T SOURCE <br />� Elactric _ Gas _ Other <br />WORK D[SCRIPTION <br />Yl�,� ��,n�:-�JQ u�.�'� <br />NO. I TYPE OF FIYTURE OR ITEM <br />Tollel <br />6athlub <br />Lavntory (wosh Uas�n) <br />Shownr <br />Kitchac s�nk 8 disposal <br />Dishwosher <br />Clothos vrasher <br />Water healar <br />Sink (sorvice/bar/mop/etc.) <br />Backflow prevenler <br />Urinnl <br />DAnktnp Fountain <br />Floor drain <br />Grense Irop <br />Root drains <br />Olher _.._ <br />� <br />CONTRACT PRICE OF WORK <br />� .--- - _ � <br />NO. I TVP[ OF FIXTURE OR ITEM <br />A/C — air Nandling units <br />Forced eir systems <br />Gus piping <br />Water heater <br />Gas fireplece <br />Gasrongo <br />Clolhes dryer <br />Rangehood <br />ExhauSlfen <br />Healpump <br />Unit heater <br />Boller <br />Rofngoration <br />Woodstove <br />CIN OF EVERETT LOCAL 9ALES 7A% CODE IS 7103 <br />I horeby cerlify thal I have rend end e�mined Ihls applicellon nnd know 1ho same to Ue true and corred. All provlsions o( laws antl <br />nMinancoE 9ovoming lhis lypn of work will bn canpliaA with whntho� specified herein or nol. The grutlln� oF a pertni( tloes not presumo <br />lo givo authority ln violata or cancel tho pmvision af any othar state o� local law �ogulntln8 conslruqion or �h¢ perfomianco ol <br />conslnitlion. Thnt I nm aulhodzetl bY tho ownAt oi this properly to perform the work for which appllr,aUon is made and I r.omp�y with tho <br />Sta c�CoCntractors �aw 1`13.27 RCW antl 296200 WAC. \ <br />\ , A���v� 1i..� ,ol �O—IU <br />Sipnalureof wneNConiract /AulhonzedAgent �e <br />