Laserfiche WebLink
i � <br />P�ERMIT APP�.ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS_.�;�e�� <br />6a�o �� �. w�, <br />LFGAL � LO�N ; BLOCK � <br />DESC. I..� <br />OWNER - N.V, (A <br />� ��1 N rJ M art� M� <br />j /.�/J�(1_}� I <br />CONTRACTOR <br />CONTR LICENSE! O� � GY� <br />PARCEL TAX I.D. # <br />.4��_�,�,_ <br />IZO Z. OS�^ <br />�910 �cafer�`� � <br />CONTACT FOR P RMIT <br />�ar� UY\� <br />ADDRE� <br />�U"'� 1 <br />USE OF BUILDING I <br />lP Fk f 0. C._. �'Co r a <br />WORK DESC TION n��� �CG <br />� P'l'�.�`-¢- 8sk �Po� <br />PLUMBING <br />N0. I TYPE OF FIXTURE OR ITEM <br />Todet <br />Bathlub <br />_ Lavalery (wash basin) <br />_ Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes waxher <br />Laundry tray <br />Sink (servicelbar/mop�etc.) <br />BaGcOow prevenler <br />Urinal <br />Drinking Founte�n <br />Floor drein <br />Grease trap <br />Roo( dmiris <br />Olher <br />3-S—o; <br />EH�AIT# � <br />/� j�,� — <br />c.vv - <br />��-�va�-�e�5:�C �,ta . Z <br />1 � �+ PHONE <br />zo�-3sy-�iiS <br />CITYZP PHONE <br />HEAT SOURCE �� J CONTRACT PRICE OF WORK <br />_ Elr,dric _, Gas _ Other � I 1 nn � <br />�Y' Nv` lD' <br />�.� N� <br />1.471 <br />0.Y <br />J�. <br />NPE OF FIXTURE OR ITEM <br />WC — air hantliing un�ts <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigerstion <br />Wood�tove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />i hereby cenhfy ihat I have read and examined lhis application and know lhe same to be true and cortecl. All provisions of laws and <br />ord�naces goveming ihis type of work will be complied wi;h whether specified herein or nol The grenting of a pertnA dces not presume <br />to ; ive authodly to violate or cancel the pmvision of any other sta�e or local law regulating mnstruction or lhe peAortnance of <br />Stale �on� a tols Lav/1'8 27 RCV�/�nd 296.200 WAC Property to periorsn the�vOrk for wfiich application is made and I compiy wRh ihe <br />/ / <br />