Laserfiche WebLink
; <br /> � SEPA 06-037 � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 'i <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PE��� / <br /> 10028 13th Dr. SE, Everett, 98208 2805190070250 � � '� <br /> LEGAL LOTNU. BLOCK TRACT <br /> DESC. gg <br /> OWNER ADDRESS CITYIZIP PHONE <br /> Greenfeld Park LLC 9514 4th St. NE Suite#102 Lake Stevens, 98258 425-953-?��70 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Britlney Lundberg 425-953-1470 x 123 <br /> CONTRACTOR A�DRESS CITYIZIP PHONE <br /> Greenfield Park LLC 9514 4lh SL NE Suite#102 Lake Stevens, 98258 425-953-1470 <br /> CON7R.LICENSE# GREENPL942Q2 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Single Family Home _Electric X Gas_Other <br /> WORK DESCRIPTION <br /> Basic#302-2 Car Garage <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 3 Toilet A/C—air handling units <br /> 2 Eathtub 1 Forced air systems <br /> 4 Lavatory(wash basin) 3 Gas piping <br /> 1 Shower � Water heater <br /> 1 Kitchen sink 8 disposal 1 Gas fireplace <br /> t Dishwasher Gas range <br /> � Clothes washer 1 Clothes dryer <br /> Laundry tray 1 Range hood <br /> Sink(service/bar/mop/etc.) ,� Exhaust fan <br /> BackBow preventer _ Heat pump <br /> Urinal Unii heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trep _ Woodstove <br /> 1 Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and corcect. All provisions of laws and <br /> ordinaces goveming this type of work will be�omplied with whelher specified herein or not The granting of a permit does not presume <br /> to give authority to violale or cancel the provision of any other state or local law regulating construction or the performance of <br /> cp struction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br /> ��i�te.Co lr�tors Law 18,27 RC1�and 296 2Q9 WAC. <br /> ��) ' %% _`� /��l;� 3`"�� -���i <br /> ignature of OwnedConl dor uthorized Agent Date �� <br /> � Z <br /> � , <br />