Laserfiche WebLink
SITE ADURES�S ^ <br />LEGAL LOTNVO <br />DESC. <br />TENANTNAME <br />a FRMIT APPLIC�ATI�N <br />CITY OF EVERET�' PERMI7 SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-B810 — FAX 425•�257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. k <br />P,elm�n�e l.a�n� �_- <br />�O BLOCK � TRACT <br />��f/E f/oz <br />CONTACTFORPERMIT <br />�� 6� <br />— — I <br />PERMIT � <br />� � �' Y "�'") <br />�� i <br />PHONE <br />�1�t -75�1- <br />CONTRACTOR �Qm,'—N rp � � t JIDDRESS � CITYRIP PHON <br />r...�`�_ .�.Z� '/Z..S�-�� <br />CONTR. LICEN E N q.s�s� �.� tir �; �� ��p��jL/� <br />cun�N�9�rS�Bo — <br />USE OF BUILDING � HEAT S�:�kCE <br />WORK D SC� RIPTION � <br />cL l:(�CJC.e'� � � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwesher <br />Clolhes wasf�er <br />l.aundry fray <br />Sink (sa��ice/badmopletc � <br />OackAow preventer <br />Unnal <br />�nnking Fountain <br />Fl.�or drain <br />Grease irap <br />Roof drains <br />Other <br />/ <br />_ Electnc _'�_ Gas _ Other <br />/ 7�- %� <br />lti�4- <br />CONTRACT PRICE OF WOFiK <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/C — air hendling unds <br />Forced eir systems <br />Gas piping <br />Wa�er heater <br />1 Gas hreplace <br />/ Gas renge <br />J_ Clo�hes dryer <br />_L. Range hood <br />�� Exhaustfan <br />_ Heat pump <br />Unit heater <br />� Boiler <br />� Relrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL 9ALE5 TAX CODE 19 ]106 <br />1 hereby ceritily that I have read end exemmad this app6cation end know the seme to be true and correcL All provisions ol lews and <br />ordmeces goveming this type of work will br; complied vnlh whether specified herein or not. The granting of e permfl does not presume <br />to give authonry to violate or cancel Ihe provlsion ol any other state or local law reguleUng constmction or ihe peAortnanca ol <br />� construdlon That I am euthonzed by the owner of this propetly to peAorm fhe vrork tor which epplica6on is made end I comply wilh the <br />State Conlractors Law 18.27 RCW and 296.200 WAC. <br />, j <br />Slgnature o wner/ContractodAuthonzed Agent ete <br />