Laserfiche WebLink
_ _r _ __- -_ -- - - <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9P201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT 8 CRE01T CARDS ARE NOT ACCEPTED <br />SITE <br />6�� <br />DESC. <br />iESS PARCEL TAX I.D. p <br />�'' s+ sF �t i� �ve�erbt �.8 os ► 9�� 3 0 <br />LOTNO. BLOCK I TRACT <br />� <br />PERMIT M <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />Menn' Te-�i ak% kQ� Wo►c9j (�ob) �63 — b� b I <br />CONTRACTOR ADDRESS CITIiZIP PHONE <br />Mona.rch Trr.wG:n� Cor�. q4.$ S, por�s S-1 Sea� `���08 �2��763-6i �I <br />CONTR. LICENSE K <br />MON�k R _���A i � <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK � <br />'�`' <br />R� _ Elec�nc _ Gas . Olher � 0 G C+ -`� i, <br />WORK DESCRIPTION <br />I n stt�,( a. 8� TY�e r}-b� <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilel <br />Bath�ub <br />Lavalory �wash basm) <br />SIIOWPf � <br />Kilchen sink 8 disposel �'( <br />o�SnWAsna� ���PQ�P� <br />IClolhes washer <br />Leundry Irny �C <br />�, Sink (cerncelbadmoP�etc � I C F� , I'. <br />Packllow preventer Cj\�G �(i� ' � <br />Winal v\{i� ' <br />Dnnking Fountain �i � <br />Floor drain � .� � ' <br />GreTse Iran I <br />Raol drains <br />Olher <br />NO. I TYPE OF � 11(TURE OR ITEM <br />AIC - av handling units <br />forced eir syslems <br />Gas piping <br />Water heatcr <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaust lan <br />Heal pump <br />Unil healer <br />Boiler <br />Relrigeration <br />Woadstove <br />Other <br />CITV OF EVERETT LOCAL SALES TAI( CODE 19 7105 <br />I hareby ceritily that I have read anA exemined this npplicahon and know Ihe same to be Irue and cor�ecl. All provisions of laws and <br />� urdmaces govermng th�s type ot work will be complied with whether speciGed herein or no�. The grenting ol a permd does not presume <br />to gwe authonty lo vwlate or cencel Ihe provision ol eny other state or lucal lew repulating conslruclion or the peAormance of <br />r,onsiruction. Thel I am authoriznd by the owner ol lhls property to pedorm Ihe work for whlch applicauon Is mede and I comply with the <br />�' State Contracluis Law 18 21 RCW �nd 296 200 WAC. <br />�_ , " -_ c � �j� , <br />Ci <br />Sianature ol OwnedContreclor�Authonzed —_ .____ _ D le <br />