Laserfiche WebLink
P�RM�T APPLICATfG�� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NUT ACCEPTED <br />SITEADDfRESS r PARCELTAXI.D.#��"j��Z'���X�O`' PERMIT# <br />(Q �l �� � 1".�l_ V�.-1iL `j � C V1i �: '�--��--c CI KD+'7 1 � � J �I � <br />LEG� LOTNO. BLOCK T{�RACT <br />DESC. � I U�'r7?L`� �-I�i LLS Q i�/ 2 <br />�A57Z� I�w�-ii �1zS TNc <br />TENANTNAME / <br />� �//� C.�n�"f <br />CONTRACTOR ��v,�E-2 <br />CONTR. LICE'::.: N <br />USE OF BUILDING I <br />�hR->�, L <br />WORK DESCRIPTION <br />�c•�X7�1� <br /><vtis•�utr <br />f�CTf�c iic-7 <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicelbadmop/etc.) <br />Backflow preventer <br />Jrinal <br />Drinking Fountein <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />—� <br />i75��s 3'7�'p2 Nc l+2�,ti�n� �fkzz3 4-3�14-9L�� <br />ICONiACT FOR PERMIT <br />� �.`/ C �nhi� L E <br />AODRESS <br />PHONE <br />4z��- 344 - QG�3 <br />CITY2IP PHONE <br />— HEAT SOURCE I CONTRACT PRICE OF WORK <br />ti-��vE qI{', ,, <br />Electric _ Gas Other "�� Y'c� <br />.LE�� <br />�nr�c,c <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />A/C – air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rango hood <br />Exhaust fan <br />Heat pump <br />Unit healer <br />8ailer <br />Retrigeration <br />Woodstave <br />Olher <br />CI7Y OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hereby ceritity that I have read and examined this application and know the same ro 6e true and correct. All provisions uf laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presumo <br />to give authonry to violate or cancet the provision of any other state or local law regulating constructlon or the performance of <br />construction ,T�ia} I am author2etl by t o�.vner o( this property ro perform the work +or which application is made and I comply with the <br />State Con(ractors���1t�.27 gCW 296.200 WAC. <br />l –�/– CS <br />,�Z <br />