Laserfiche WebLink
M.N. 2011 2:11AM <br />Ne.0092 P. 2 <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 8 AM TO 4 PM -7 —a"7 -11 <br />SITE ADDRESS PARCEL TAX I.D. p PERMIT ✓t — <br />220 & 22.nd 5-t SS <br />LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION Y <br />DESC _ <br />aob FlGnsaas sarnle� <br />TENANT NAME CONTACT FOR PERMIT PRONE <br />Debbie 47-5?59 farobio <br />EMAIL <br />CTOR f , C f'y)ZrR`�{P <br />('ty) W-017 91nC_ 1L115 8roockk -L.! i5-VCf i g9201 L47-S2.5c1 felo(o(O <br />CONTR. LICENSE K ^ nA Orb nR+ <br />BUILDING V rr _i I HEATSOUR CONTRACT PRICE OF WORK <br />USE of <br />V Eloctrir. _Gas _ ORrer <br />1710 q 00 <br />WORK DESCRIPTION <br />i►15�1I I��c-il 5 I�PG� �UrNr� r oo r <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ Toilet <br />_ Bathtub <br />_ Lavatory (wash basin) <br />_ Shower <br />_ Kitchen sink 3 disposal <br />_ Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backfew prevenler <br />Urinal <br />_ Drinking Fountain <br />_ Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE On ITEM <br />_ A/C — air handling units <br />_ Forced air systems <br />_ Gas piping <br />_ Water heater <br />_ Gas fireplace <br />_ Gas range <br />_ Clothes dryer <br />_ Range hood <br />Exhaust tan <br />Heat pump <br />_ Unit heater <br />_ SoilGr <br />_ Refrigeration <br />_ Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CORE IS 3.05 <br />I hereby cerilify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specifled herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner or this property to perform the work for which application Is made and I comply with the <br />Slate Contractors �aw 18.27 RCW and 296.200 WAC. <br />noI^lnrn 'Pti,16nA� <br />