Laserfiche WebLink
SITE ADDRESS <br />15.13 1 ?L <br />LEGAI LOTNO. <br />DESC <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 4�5-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SC- S�„1�. <br />BLOCK <br />Cjl.�.�' � G���.��, ��; u� �c <br />TENANTNAME <br />.�a�w� MUfrc•s•� <br />:�3n ��-t ;ic�'h5 1✓k <br />CONTR. LICENSE A N� ^y i��� G�l <br />USE OF BUILDING <br />��1�„'I �l�„llfc-�,:��,�11��1- <br />PARCEL TAX I.D. M <br />TRACTOR SUBDIVISION! <br />ADDRESS (,'�7 <br />r�� � r�,( 77 / .�.1[ <br />CONTACT FOH P'fE�RMIT <br />t`Jlr�1 V�I��.l <br />�s � ,�-I [� � �; I �! <br />� <br />�r� �rr,-��{- � '� <br />HEATSOURCE <br />__ Eleclnc _ Gas _____ Other <br />WORK DESCRIPTION L�� r C�,,� ,,,��, � �.� N �'.; �,�., l l <br />N0. I TYPE OF fl%TURE UR ITEM <br />Todel <br />Halhtub <br />_. Lavatory (wash hasin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwashcr <br />Clolhes washer <br />Water heatei <br />Sink (servlce,barhnop�elc.) <br />. _ Backllow prevenler <br />Unnal <br />Dnnkmc� FounWin <br />. _ Floor drmn <br />_ Greasolrap <br />Rool diains <br />--- Othcr .. ---- <br />PERMIT M <br />M,..r p h� s �ir✓`er' <br />CITY2IP PMONE �� � <br />yt nlm�.:; I.c%�F y2.li �C�� � <br />��x �� �{ <br />PHONE :J `; : I - SC7 I7 <br />/ <br />� <br />�n� ti <br />rn�nc <br />r�ZS•-�='S. ti;S75 <br />CONTRACT PRICE OF WORK <br />j�iJH� �r� <br />N0. I TVPE OF FI%TURE OR ITEM <br />A�'C - air handling units <br />Forced air systams <br />Gas piping <br />Water heater <br />Gas tueplaco <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Hcal pump <br />Unil heater <br />Boiler <br />Reingoration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TA% CODE IS �105 <br />I hereby cmihty Ihat I havc read and examined Ihis apphcation and know Ihe samo to be true and correct. All piovlsions of laws and <br />ordinaces governing Ihis �ype N wml; will be comphed w�th whelher specfied herein or noL Tho granting nl a permit does not presume <br />to give authoiily to violate or cnncel Oie provis�on ol an� �;hor state or Iocai law wgula6ng conslruction or the performance of <br />construclion. That I aJn. uN�onzed b�� Iho owner ol this pioperty to perlorm �he work lor which application is made and I comply with Iho <br />State Conlractors �.jw 1 H27 RCW�3�d 296200 WAC. <br />�, �%_�--__ _ %�`� -�,1%-U� <br />�,_ _ <br />Signalure ol w riContr. ctor�Aulhcnzed Agent Dalo �/�� <br />( <br />