Laserfiche WebLink
PER�VIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425257-88� 0— FAX 425-25" -8857 — www.everoriwa.org <br />APPLICATIONS ARE ACGfcPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />a�i ac r�.i o+P_ � <br />LEGAL l0T NO. BLOCK <br />DESC. <br />OWNER <br />(�1 vv�o�-I-E H e i G <br />TENANTNAME �- <br />CONTRACTOR Un'jmi I�T-' Q� <br />CONTR. LICENSE M UNL-IM MIQ,q � <br />USE OF BUILDING <br />✓[S i t�e r ��a I <br />PARCEL TAI( I.D. N <br />� p0� �(,��-(�C� t'iG• n�� <br />TRACT <br />L L� 9yis ti�` 5t NF �t�oa C�.,� <br />CONTACT FOR PERMIT / PHONE <br />�ere�-, i'i'lc%�la�el�P� .36o�6S <br />/ ADDRESS � � � CfTYfLP PHONE 7,� <br />Po f�k I �lS� ��Vla�ys ✓� ll� w�fi- <br />a—�_ <br />bs�-��ga <br />98�� O <br />— HEAT SOURCE I CONTRACT PRICE OF WORK <br />00 <br />Electric _ Gas _ Other � % 80 <br />WORK DESCRIPTION �'r-t S. i ��:-I�„ s 6�Q�"� <br />ir5lullnhoV. c� a�to�.�ah'c p Y <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilel <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry trey <br />Sink (service/barlmopletc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />N0. I TYPE OF FIXiURE OR ITEM <br />AIC – alr hendling units <br />Forced air systems <br />Gas piping <br />Water t�eater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERE7T LOCAL SALES TAX CODE 19 �105 <br />I hereby ceritity lhat I have read and examined this application and know the same to be true and corted. All provisions of laws and <br />ordinaces goveming this rype of work will be complied witn whether spedfied herein or nol The grandng of a permH does not presume <br />to give authority to viol�ie or cancel lhe provision of any other stale or local law regulating consWction or the perlormance of <br />construdion. That 1 am authaized by lhe owner ol this prapeAy to peAortn Ihe work for which applicatlon is made and I comply with the <br />s�ate Contradors Law 18.27 RCW and 29Fi.200 WAC. <br />7 <br />