Laserfiche WebLink
I�cRMIT APPLICATIuN <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 />�1 QU !� <br />d � <br />� J�; � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �O `� ��%� O� <br />SITE ADDRESS PARCEL TAX I.D. �I I P.ERM Tj� .��� 1 <br />1,�- �:',,�s �:.,,/ f ��' �� �,�'c)� / 9i�D iC� � Zf�O �; � �-� � � <br />LOT <br />BLOCK I TRACT . �' <br />i jG y�r Sc���-; � <br />ADDRESS ?��o ,. <br />, 6" /�'✓ /xl �-!�31� y i � i <br />CONTRACTOR �i�f(7 CL'��71/T��h%�� <br />(_,9.'"]�. <br />CONTR.LIL'ENSEN/,��i:'/r/�) 1�� `I �,�,�f-.C_ <br />USE OF BUILDINO <br />WORK DESCRIPTION <br />/ <br />��'/���.�� ��'il �( <br />y(J(1, � l C. <br />NO. � TYPE OF FIXtURE OR fTEM <br />Tollot <br />Bethlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen aink 8 disposal <br />DIsM�rashor <br />Clothes washer <br />Waler heator <br />Slnk (sorvirslbar/mop/otc.) <br />BeckOow preventer <br />Urinal <br />Drinking Founteln <br />Floor drain <br />Grsasa Irap <br />Roof drains <br />Olher <br />CONTACT FOR PERMR <br />��z :i�� <br />� <br />X� <br />ADDRESS „ .� CITY2IP - PHONE (�,5 ' <br />��- 1-� /�/<<i. ���� �%�1��'r•�j•.��ll�. <br />� <br />�->—.l(�,.;-; l r'.�%� ��h�i �v� _ .�yC'; {1%5i.� <br />HEATSOURCE <br />e�+�+� _ cas _ _ ou,a� <br />l <br />OY�)ICY�C� ��LL�Y! ��'(} <br />NO. <br />CONTRACT PRICE OF WORK <br />/,'S� � <br />TYPE OF' FlXiLttE OR REM <br />A/C - afr handli�g urtlts <br />Forced alr eyslems <br />Gas plping <br />Water haator „,,(� <br />Gasran�e 8 u � �J ���y f /)l�% <br />s � ��r�n -- �r>> <br />Cbthos dryor � .j/7 C''� - <br />Ranpn hood <br />F�diaust fan <br />Heal pump <br />Unit hoalur <br />Boibr <br />Rehigeratbn <br />Woodstove i <br />Olher I <br />Cf7Y OF EVERET! LOCAL SALES TAX CODE IS J10S <br />I heroby corillty thal i have road and ezamined this applica0on ond know the same b be We end cortect. All prodsbns of laws end <br />ordinacas goveming this type of work �WII be camplied with whether epedfled hereln ar rat The gianWig of a permlt doea nol presume <br />lo give authority to vblato or cancd tho provisbn of any other stala or bcal taw regWatlng conatructlon or Ihe peAortnance ot <br />construcUon. ihat I em aulhortrod by tho ownor of llds properry to per(orm the work forwhfch epplir�lion Is mede and I compty wilh tlre <br />Slaln (lontraotors Law�78.27 RGW.Bnd 2J6200 WAC. <br />, /� �� � . /.. /-- <br />� ! � l- / I l <br />�/ <br />Z <br />