Laserfiche WebLink
SITE ADDRESS <br />� <br />„ '�L�Z <br />LEGA LOT N0. <br />DESC. <br />►'lw �d <br />iANT NAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX A25-257-8857 — www.everedwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br />PARCEL TAX I.D. N <br />r, S�� 00 3� C�C �CO�IGG _ <br />BLOCK � RACT �R SUBDI �SION� , � � �� ' �� <br />ADDRESS � � CITV2IP <br />�U61lse�, �1��-•1�L�d i� (.�/�,, �'zl�w� <br />COMACT FOR PERMIT PHONE <br />J�iI/U ��I/� _. EdAA1L_ <br />CONTP. LICENSE / � S�� /// /�� <br />�� <br />USE OF BUILDING ' <br />'1 > ,�1'�LLL���— <br />WORK DESCRIPTION I <br />��,� p ��� �� � � � � -� <br />NO. I TYPE OF Fl%TI1RE OR ITEM <br />To�let <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothe5 wa5her <br />Walei heale� <br />Sink (servico�barmop'etcJ <br />� 8ackllow preventm <br />Urinal <br />Dnnkinp Founlmn <br />Floor drain <br />Grr.aso Irap <br />. Rool drams <br />_ Olher_._— —__. _ . <br />HEAT SOURCE <br />3 —1/—�y <br />i IT M <br />�� ��� <br />>p —�O�G <br />IE <br />- �70 -Y� <br />��( � �s� <br />� <br />3�•0 �l�l � s o � <br />� CONTRACT PRICE OF WORK <br />.. _. Eledric Gas . Olher <br />NO. I TVPE OF flXTURE OR ITEM <br />A�C — air handling units <br />� Forced ai� systems <br />Gas piping <br />Water healer <br />Gas Ineplace <br />Gasrange <br />Clothes dryer <br />_- Range hood <br />Exhaus�fan <br />Hea� pump <br />- Un�t heater <br />floilxr <br />Refngeration <br />Wc.,d5lovo <br />_ = O�her --.__-__� <br />GTV OF EVfRETf LOCAL SALES TAX CODE IS 3105 <br />I hereby ceiility Ihat I have read and oaaminod Ihis applicalion and know Ihe same to bo Vue and correct. All provisions ot laws and <br />ordinaces Qovemin� ihis tyFe ol work will be complied wilh wholhei specified heiein oi noL Tho g�anlinp ol a permit does noI presumo <br />to �ive aulhority lo wolale o cancel Oin provision ol any othm stale or local law regulating consiructioi� or �he peAomiance ol <br />r.onsirupGon That I am au•noii7od by the owner ol Ihis pmpehy lo peAorm Ihe work lor which apPlica6on is:nade and I comply with ihe <br />Slatr, CDniracldrs law�J P 27 FCW and 79Fi.200 WAC � <br />� ����. �� �� J,2yF�_�� _ 3 r � <br />a <br />