Laserfiche WebLink
Sep, 30. 2009 11 : 24AM BCIE No, 0215 P. 2 <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425257-8810—FAX 425-257-8857—www,everettwa.org /, <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 2 90(o 57 ST Q2 Oo. S" OOZ o 6 IF Cf�1 chi -C.iCi'c <br /> LEGAL LOT NO, 13LOCK TRACT <br /> DESC, C yZ < <br /> ]�WNER r ADDRESS CITY/ZIP PHONE <br /> T>I eX Z9 d to 2 I s.r S TGR T� W01 j <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> Seg ►,� 0�3 f5;33'�- --3- <br /> CONTRACTOR MCXINV,y W6MC-S ADDRESS CITY/ZIP PHONE <br /> CONTR.LICENSE#A1C)�IaNNIg4V(3-q- ZS, 70 '� z 9 <br /> ' 1 U 6tA•1N <br /> I�al� 17 <br /> USE OF BUILDING HEAT SOURCE NTRACT PRICE OF WORK <br /> Electric YGas,. Other <br /> WORK DESCRIPTION —r `AMU <br /> —To- <br /> RaGvt '!NCC. f�� <br /> Euvc.571 N&--�hM►a<.� 1MS{9EG0N <br /> TII <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet AJC,air handling units <br /> r Bathtub Forced air systems <br /> Z, Lavatory(wash basin) _ <br /> Gas piping <br /> I Shower / Water heater <br /> I Kitchen sink 3 disposal Gas fireplace <br /> l Dishwasher Gas range <br /> I Clothes washer J Clothes dryer <br /> Laundry tray f Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE 13 3108 <br /> 1 hereby cerilify that I have read and examined this application and know the same to be true and correct. All provisions of laws and t: <br /> ordinates governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other slate or focal law regulating Construction or the performance of <br /> construction.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 /> State Contractors Law 18.27 RCW and 296.200 WAG. <br /> Signature o7� n traclorJAutitorized Agent Date <br />