Laserfiche WebLink
f :RMIT APPLICATII.N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-BB57 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br />SITE ADDRESS n ��r] 1�.n'yy� � <br />L (� "�Y/ 11� <br />LOTNO._ �„ BLOCN I TRACT <br />DESC. <br />owr+ea �n <br />1'ENANT NAME <br />CONTRACTOR � <br />CONTR.IJCEN E A <br />L <br />USE OF BUILDING <br />WORK D SCF R�PT��N � 1 <br />lL .. .. .' � <br />sL�I%6CJLe� ��•� <br />N0. I TYPE OF FIATURE OR ITEM <br />� Toilet <br />Balhtub <br />Lavetory (wash besin) <br />� Shower <br />� Kilchen sink 8 disposel <br />� Dishwasher <br />Clothes wesfier <br />Leundry tray <br />Sink (servicelbarlmopletc.) <br />Beckflow preventer <br />L Urinel <br />_ Drinking Fountein <br />Fluor drain <br />Greese trop <br />Roo1 drains <br />Other _ <br />PARCEL TAX I.D. A <br />�/(/E'f/o2 <br />PERMIT N <br />� �+� l- J� <br />CONTACTFORPERMIT PNONE <br />�l�'�21a �/�i h eJ `�25-75�1-1 s�'P <br />1�OO.RESS c�TM�P y� "�� . � �70 <br />9s�� �f�.U�/�z, �Gc�c�'o�fiL/�' �fi� <br />HEAT SOURCE <br />Eleciric �es _ Other <br />NO. <br />GON I ItN� � rnwc vr ........ <br />TYPE OF FIXTUPc OR ITEM <br />AIC — eir handling units <br />Forced elr syslems <br />Gae piping <br />Water heeter <br />Gas fireptace <br />Gas renge <br />Clafhes dryer <br />Renge hood <br />Exhausllen <br />Heel pump <br />' Unit heater <br />IBoller <br />RaMgeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL 8ALE5 TAX CODE IS ]106 <br />I hereby ceritity thot I heve roed end exemined thls applicatlon and know tha seme to be true end conecl. All provlslons ollaws end <br />ordinaces gove:ming Inls type ol work will be complled wlth whelher specified hereln or nol. The grenting o1 e permlt does not preaume <br />to givo euthoriYy to violete or cancel Ihe provislon oi eny other atete or local lew raguleting consWctlon or the per(ortnance o� ,�th tha <br />conatrucllon.'fhat I em euthonzed by lhe ownar ollhls property to perlortn the work for whlch epplfceLon Ia mede end I comP�Y <br />Slete Contreclors Lew 10.27 RCW end 298.200 WAC. � � ^ <br />�L <br />��L <br />