Laserfiche WebLink
SITE ADDRESS Y <br />3050 �Yl. <br />LfGAL LOT NP,. -, �, <br />OESC. ! � <br />OWNER <br />�I a�. � h�� <br />TENANTNAME <br />CONTRACTOR <br />CONTR. LICENSE A <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PERMIT APPLICATION <br />fY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />5-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /� ���g' _�� <br />[ <br />I PARCEL TAX I.O. 8 I BERMIT M„ <br />BLUCK <br />NO. I NPE OF FI%TURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash hasin) <br />Shower <br />Kitchen smk 8 disposal <br />Dlshwasher <br />Clolhes washer <br />Laundry Iray <br />Sink �sernce/bai/mopletc 1 <br />Backflow preventer <br />Unnal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Rool dreins <br />Other <br />CONTACT FOR PERNIT <br />ADDRES9 <br />HEATSOURCE <br />_ Electnc �` Gas _ Other <br />� : i%Ci�"'// <br />CI P PHONE <br />a�r�s 98� 4.15953, <br />PHONF <br />�izs-�sy-�588 <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling unila <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas f replace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust lan <br />Hea� pump <br />Unit heater <br />Boiler <br />Reingerefion <br />Woodstove <br />CITY OF EVEHETT LOCAL SALES TA)( COOE IS ]706 <br />I hcreby cenUfy Ihat I have read and examinetl this apphcahon and know the same to be true antl corted All provisions ol laws end <br />ordinaces geveming this type of work wdl be compheA Nnth whether speufied herein or not. The gran6ng ol a pertnit dces not preeume <br />to grve authonty to violate or cancel the provision ol any other slale or loral law regulating construdion or the perlortne�ue of <br />con;h uction That I am authonzed by Ihe owner of Ihis property to perfortn the work for which application is mede end I compiy with lhe <br />State Contractors L�vi� 1�7 RCW and 296200 WAC. <br />� <br />'I '/ <br />