9709 19TH AVE SE 2018-01-02 MF Import

Oct 25 05 Ot':39p Arca! 2066221117 P• 1 PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 — FAX 425-257-8857 — www.everert•:a org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1/ — I S--o5 SITE ADDRIl PARCEL TAX I.D. # PERMIT 0 1101 19TH Ave sF 2.e06.1 7oo30s y op O 9 LEGAL LOT NO. BLOCK TRACT "SC. -- ALLF-N 5 GL49K II7_1S 19TH AvE. Sr- F-JE2-ETT 916M 1206) 622-Occl TENANT NAME CONTACT FOR PERMIT PHONE f�P 34mes Luc-1 ?4" &04)•83fS-1-755' ADDRESS CITYIzIP PHONE CONTRACTOR ACE C0?4S1V-0CTrON f n-�• �-} Ll y !e SoJn� 1315Y � Ti�AJt.A, 206. 2..`i10 • yEBS CONTR. LICENSE it ACE C- �) 132-N P 48168 — USE OF BUILDING �Yk5 A. NA HEAT SOURCE I CONTRACT PRICE OF WORK Electric Gas Other WORK DESCRIPTION pf:Mo L I•t-rr 3 F15A + iY FC4- EXrsrr N y }IwiE PLUMBING NO. I TYPE OF FIXTURE OR ITEM NO. I TYPE OF FIXTURE OR ITEM _ Toilet _ Bathtub _ Lavatory (wash basin) _ Shower _ Kitchen sink & disposal _ Dishwasher _ Clothes washer _ Laundry tray _ Sink( service;bar(mopfcic.) _ Backllow preventer Urinal Drinking Fountain Floor drain Grease trap Roof drains Otter _ A/C - air handlirg units _ Forced air systems _ Gas piping Water heater Gas fireplace _ Gas range _ Clothes dryer _ Range hood Exhaust tan _ Heat pump Unit heater Boiler _ Refrigeraticn Woodstcve .. Other___ CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby ceritdy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. Signature of OwnerlContraClorlAuthorized Agent Date