Laserfiche WebLink
P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES ��+ (sM��`"y <br />3200 CEDAR STREET, EVERETT, WA 98201 �i�I� <br />425-257-881 U— FAX 425-257-8857 — www.everettwa.org P� � O <br />APPLICATIONS ARE ACCEPTED FROM P AM TO 4 PM - DEBIT & CRED�CARDS ARE � T ACCEPTED <br />SITE ADURESS <br />uiu ��� �d <br />L0T N0. <br />UESC. <br />vriycn nN��- <br />r <br />(,4.L. <br />TENAhTNAME <br />f,,,Jlc <br />CONTRACTOR n„ <br />COfITR. LICFNSE M���STLrr"J� <br />USF OF BUILDING <br />5,��� �M,�y N�.,�� <br />WORK DESCRIPTION <br />PARCEL TAX I.D. k I p�RMIT�#� <br />D I D� S 2 DOo� s� o � �v �a" <br />TRACT <br />.5�� 23 T�,✓P z9 N R�� Y� cdM . <br />ADORESS CITYIZIP PHONE /,JZ$� <br />3`125 ybt" Oc J-r- ��32�8 970- �3 <br />cON7ACT FOR PERMIT <br />�N2i J✓ti�s.� <br />AOORESS „I� �bt� nC fC CITY2IP <br />� 7 1" <br />_ ��/C/r�� � b qi°�208 <br />HEATSOURCE <br />_ ElecMc V Gas _ O�her <br />�anJflK�� A1C �J ( ✓���J'..c�� �.� ��/HyL <br />PLUMBING I — <br />N0. I NPE OF FIXTURE OR ITEM <br />� <br />IToilet <br />Aethtub <br />ILavatory (wash basln) <br />Shower <br />Kitchen aink 8 disposal <br />Dishwasher <br />Ciothes washer <br />Laundry Uay <br />Sink (service/badmop/cic.) <br />Backilow prevonter <br />Urinal <br />Drinking Fountain <br />Floor draln <br />Grease:�ap <br />koof Jrelns <br />Olher <br />NO. <br />1 D <br />PHONE <br />`1Z5� Q�17-/1�30 <br />PHONE / ,JlS 1 <br />C= � J <br />�7�-l�0 <br />CONTRACT PRICE OF WORK <br />99',0�0. �o <br />� �� / <br />��`��`� y���i c� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air aysteme <br />Gar plping <br />��'v.dPr n�� llnr <br />'tlU flfl;j11t7rB <br />t'�as �anpe <br />Clothea Aryer <br />Range hood <br />Enha . �t fan <br />Heat pump <br />Unit heater <br />Boller <br />Refrigeratlan <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALE9 TAX CCDE 19 7105 <br />I herehy cn.ttify that I have : ead and examined this applicatlon and know the samo lo betrue and conect. All provislons af laws and <br />ordinaces govemin� this type of work will be complied with whether spedlled herein or not. The pranUng o( a pertnit doos not presume <br />to aive authonty !o violate or cancel the provision of any other state or local law regulatinq construcUon or lhe peAortna�ce of <br />constroctlon. Thet I um aulhoiized by the ownei of this proparty to pedorm ihe work fur whlch applicatlon ia made end I comply wlth the <br />Slaie Contrac�ors Law 18.27 RCW and 296.2C0 WAC. <br />✓�i / Lvvy <br />