Laserfiche WebLink
SITE ADDRESS <br />''i''1 • �i. .::t, <br />LFGA LOT NO. <br />DESC. <br />OWNER <br />���,_., ,�� i h 1,.�1 <br />TENANiNAME <br />. <br />,�. ,.s � :�. <br />-�— <br />CONTR. LICENSE f <br />USE OF BUILDING <br />��( '�li�_i ��'l <br />WORK DESCRIPTI(1N <br />PERMIT APPLICATION <br />1 �f 7 <br />CITY OF EVERETT P�RMIT SERVICES z;; C% <br />3200 CEDAR STREET, EVERETT, WA 98201 � ��� L'��� � <br />425-257-8810 — FAX 425-257-8857 — www.evereriwa.org � � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. M F <br />, i�,.�itu"��I `�d� ��q o . / c�l � <br />BLOCK TRACT OR SUBDIVIBI�N t <br />,'� r� C,r��N(�/ �eCc=� ?��.�ES �.IKOVJ u— <br />/� <br />]yC:y �',..,�I� L„ Y�i'"� <br />CONTACT FOR PERMIT <br />i ;..�.;,, i, l.:,c:,,��.,, <br />(_%i<Jr.� � <br />6_ al—/U <br />;a.:�s.f�_ `/�1�•>'i>-_i'i6�{ <br />PHONE C.�,1� -.�3'i' � i1 �� j <br />c.Lsu ,.,.., .�t(il `�S-:'i7�+�n <br />HEAT SOURCE CON7RAG7 Pnict ur w�nn <br />�Electric _Gas_Other L'J '�C�/ G'z <br />! <br />[ 1 <br />� � /� <br />(�������..�. �ii � �� �"i;_\ ��� �,'.� <br />NO. I TYPE OF FIXNRE OR ITEM <br />"� oilel <br />Bathlub <br />Lavalory (wash basin) <br />Shower <br />Krtchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Smk (serrice/badmop/etc � <br />Backflow prevenler <br />Urinal <br />Drinkmg FouMain <br />Fluor draln <br />Grease trap <br />Rool drains <br />Other <br />lt� I�' /l�5l.i� �)c,1/�(1J� I.� <br />MF(` <br />Np, I 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 />Range hoal <br />� [xhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Relrigeration <br />Woodslove <br />CITV OF EVERETT LOCAL SALES TA% CODE IS 1706 <br />I hereby cehify thal I have rear, and exammed this appGcation and know Ihe same to be Uue and wrrecl All provisions of laws and <br />ordmances govemmg this type of work wdl be complied wllh whelher specfied herem or not The granting of a pertnit dces not presume <br />lo give authonry ty wolate or cancel Ihe provislon o( any other state or local law regulating construction or lhe pedormanca of <br />construCtion That I am authonzed by the owner cf this property to pedorm the work for which applicalion is made and I comply with the <br />S�ato Conhacl�rs Law 18 27 RCW and 296 200 WAC. <br />_ ;!� . __ (., - ) ^ l,1 <br />"�h <br />