Laserfiche WebLink
Dec 06 10 11:14a Washington Water Healers <br />4255726781 <br />PERMIT APPLICATION <br />'Y OF EVERETT PERfVlIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 962D1 <br />-257-8810 — FAX 425-257-8857 — �v,�uw.everetteva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�A <br />SITE AUDRESS <br />f� ln � 1� �F c� .� <br />LEGA LOTND. BLOCK <br />�ESC. <br />ONNER <br />�.uc��-�c��l � �1� ��-rc� <br />TEN4NT NAME <br />�ti�f� <br />OL� NiRA�TOR <br />Lrf�,Swlnr�rT�nl (�u�iE2Y-/'t <br />��. <br />LISE OF BUILOING <br />WORK DESCRIPTION <br />0 <br />! PARCELTAX I.D. f1 <br />� b� ,o�.a-u�oo3yvv <br />TRAC70fl SUBOIVISION �F <br />L��r',���.c �z�f <br />NO. I 7�.�� OF FlXTLJRE OR ITEM <br />Bathtub <br />Lavatory (v�ash 6asin) <br />Shower <br />�tchen sink R disposaf <br />QIShY125h0f <br />Clothes washcr <br />Water heater <br />Sink (servlce/bar/mop/etc.) <br />Badcllaw pren�enter <br />LI: inal <br />Prinkirx,� Founlain <br />F��ordiain <br />Gre2se Irap <br />Rool drains <br />Other <br />1�`/-��S'� <br />F PERMI7,. <br />GL.�'l( �i5' <br />c vcce iva 9�05 <br />HEATSOUR�E <br />Eleciric ��s,_Other <br />� <br />l a( � i �! C7 <br />PEA611Tp , I <br />'hl�/z-oa,s f <br />'�5 <br />�� <br />. .: <br />CONTRACT PFiICE OF W ORK <br />� /lG�,vc <br />�i.G�'J-1 �c���c't. <br />TYPE OF FlXiVflE OH ITEId <br />AfC — air handGng urri[s <br />Forced air systems <br />Gas pipinc� <br />Water heater <br />Gas Iireplace <br />Gas range <br />Clothes dryer <br />P.ange hood <br />Exhaustfan <br />Heatpump <br />UnR heater <br />Boiler <br />Ralrigeratlon <br />Woodslove <br />Other <br />CITY OF EVEFETT LOCAL SALES TAX COOE IS 3105 <br />I hereby ceriGfy th�t 1 have read and examined this application and know the same lo he Vue and cortact. AA provisions ot laws and <br />crdinaces goveming Ihfs type af viorh vrlll be complied with whether speci!ied herein or nat. The giantlng ol a permft does nol presume <br />to give authority to violate or cancel the pwvfsion oF any other state orlocal la�v regulating construction or the pedormance of <br />wnsVuction. That I am autharized by the oKner af t s property to pedorm the work for which applicauon is rnade and I camply with tho <br />Staie Co tractors L�v 78.27 RCl.' C 2?62D0 W G. <br />_��°cr:C� (_.LU ���l;;u.�� � Iz (� /� <br />