Laserfiche WebLink
44/OB/2009 10-29 FkX 425 25? 88i7 <br />- r : _: - .. . . ,� .� <br />ENEAETT PER�dIT SERUICES � 001/001 <br />. . .... ... ... . _.. _.__.. _.. `.._ .._......___ _ . ......._..._.._... <br />F�ERMIT :APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-a810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE AUORESS pARCEL TAX I.D. # PERMIT # <br />Ss�� ��-, �,e SE oo �0�.,5'D�a3S�s o <br />�) L _ <br />LHGh LOT NO. BLOGK TRACT OR SUBDIVISION A `1 <br />DESC. �S OOO—� OD G0.SL�,.Q_. � v�EW ��S <br />L <br />TENAN7NAME <br />�i�.�-�)-�''�G,.,,�� u <br />GONTR. LIGENSE N <br />� � � <br />.... n uc�r rnvn[ �� �.�� <br />`�\� a-ri�1i�2� E�.1exe�i �� aog <br />GUNiACTFORPERMIT <br />�— ��C.�S�-n�� <br />—.:o . <br />USE OF BUILDING HEAT SOURCE <br />'1'c�\j���Cny� � �O1��Q _ Electric V Gas � O�her <br />WORK �ESCRIPTION ` ` ` �`� _ \ � �� ��j�� <br />�V �'-O• <br />KY�oL1�c� oudc- ��,,\\ �`� <br />�hC.�ec.,SC�.. '�. � �o �n�.,.v.2._.�- h�c-�SSG <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtuh <br />_ Lavatory (wash 4asin) <br />Shawer <br />_ Kitchan sin�� 8 dispos�l <br />Dishwashor <br />_ Clothes washer <br />_ Water heater <br />Slnk (service/badmop/elc.) <br />� Backflow proventer <br />T Urinal <br />Ddnking Fountain <br />Floo� drain <br />` Grease trap <br />� Roof drains <br />� Other <br />`ta5 a3�.-� <br />t^�Ss4.Qeb:ta@_� <br />CONTRACT PRICE OF WORK <br />'P.�C��-3 -�-o <br />V � �( <br />N0. � 7YPE OF FIKTURE OR ITEM <br />A1G— 2ir h2ntlllOg uni�s <br />Porced air systems <br />� Gas piping <br />water heater <br />� Gae fropinco <br />� Gas ranc�e <br />Clathes dryer <br />` Range hood <br />Exhausttan <br />Heat pump <br />Unil healer <br />` Boiler <br />ReGgoraUon <br />Wootlstove <br />Other <br />GTY OF EVERETT LOCAL SALES TA1C CODE IS 3705 <br />I hereby ceriGfy that I have road and axamined this applicstion and know the same lo bo lrue arvd corroct. All pmvisions ut laws and <br />oMinnces poveming this rype of work wlll be compliad wilh whether specified herein or not Tho grantlng of a permit does not presume <br />to give authonty m violate or cancel the provision of any other stale or local Inw reg�lating constructlon or the performanca of <br />wnstmetlon. That I am authonzed by the owner of this property to pedorm the work f�r which applicallon Is made and I comply with the <br />Statc Conlradors Law 18.2> RCw and 296.200 WAC. <br />..��.� �-.'C1..�,cs��Q-Y- ►!I �o � o� <br />