Laserfiche WebLink
i ( <br />P�RMIT APPLICATIC�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARC A(:CEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />// v <br />LEGA LOTNO BLOCK � <br />DESC. <br />OWNER <br />LlnlC�li� �c1rl5i �p(1 � <br />TENANTNAME I <br />CONTRACTOR J�_ l/�t{ �/ /�. . ,(,— <br />CONiR.LICENSEp ',/VJL L(,ryJ <br />(.��� 5c.� r�c,�r�ini <br />USE OF BUILDING � <br />5�F <br />WORK DESCRIPTION <br />�� ic <br />��9 <br />NO. I TYpE OF FI%TURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/elc.) <br />BackOow preventer <br />Urinai <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Olher <br />PARCEL TAX I.D. # <br />FOR PERMIT <br />ADPus�x 3o�qa <br />��� `'�a <br />— HEA�URCE <br />Electric Gas Other <br />PERMIT J1 <br />�(7 UU Cr�Sc�S-u� <br />12T i�l,� ���0� <br />CIT /ZIP PHONE <br />�, w� 9�aa3 <br />PHO�E <br />`f� 75�f -��— <br />CITY2IP PHONE <br />3 �fa5-7�y �.�3t� <br />I CONTRACT PRICE OF WORK <br />175,(��� U <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />�orced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas rangc <br />Clolhes dryor <br />Rangehood <br />Exhaustfan <br />Hcatpwnp <br />Unit heater <br />Boilar <br />Refric�eration <br />Woodstovo <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COD,� IS 7105 <br />I heroby cerilify Ihat I have read and nxamined this applicalion and know the same l0 6e Irue and correcL All provisions of laws and <br />ordinaces e�oveming this type of work will bo complied with whether specifiod horein or not. Tho granling of a permit doos not prr;ume <br />to give authonty lo violato or cancel lhe provision of any other slate or local law regulating construction or lho pedormance of <br />conslruction. That I am a�ithorizod by Iho ownnr of Riis property lo pedorm lhe work for which application is made and I w�:iply wil'i the <br />Stale ContraCj�rs Law 10.27 f�CW and 296.200 WAC. <br />