Laserfiche WebLink
i1r'F'—:'-:-2r101% 112 :1 1 r'r9 E 7 or T E. t'I E 17 H(1141 C A L. CO <br />P . 913 <br />�S3 <br />SITEADtRE88 <br />DESC <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www everettwo.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.E. e I PE9{AIT a <br />LOT NO. BLOCK TRACT <br />i <br />TENANT NAME I CONTACT FOR PERMIT PHONE Lo G <br />e- } i fit- 4r�.. t>S 75?-7 <br />CONTRACTOR SI-"fr( M exAN s.vi:..F ADOREIIS GOO 1.� •uel rr.. CITYIZIP PHONE <br />CONTR. LICENBE a 7 5--a_7 <br />OF BUILDING <br />LoVIA vnIrc.t <br />WORK DESCRIPTION <br />HEAT SOURCE CON RACT PRICE OF WORK <br />Electric 6Re Other <br />Te,Avt.v% } v% r a V.NACV4 (� <br />4- r <br />TYPO OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink S disposal <br />Dishwasher <br />Clothes weather <br />Laundry boy <br />Sink (servicalbor/mopretc.l <br />Borhflow preventer <br />Urinal <br />Drinking Fountain <br />F loot droln <br />Grease trap <br />Hoot drains <br />(Xher. N%./A <br />TYPE OF FIXTURE OR ITEM <br />AID —au handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fen <br />Heal pump <br />Unit heater <br />Boller <br />Refrigeration <br />Woodstove <br />Other _ <br />CITY OF EVERETT LOCAL BALES TAX CODE 18 3106 <br />I hereby csrilify that I have toad and examined this application and know the same to be true and correct. All provisions of laws and <br />Ordlnaoea governing this type of work will be compiled with whether specified herein or not. The granting of a permit does not presume <br />to glue eu !a or cancel the provision of any other state of local law regulating construction or Me performance of <br />torsi Ion That I am uthodzed by the owner of this property to perform the work for which application Is made and I comply with the <br />Stole nlpClara Law .27 RCW and 298.2DO WAC. <br />