Laserfiche WebLink
�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�I y APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��f —� q�- D 7 <br />3fTE ADDRESS �,� PARCEL TAX I.U. A PERMIT M <br />-J-,�-�- 1��,,.s�:-„/ f;:�� I �`� (�7-0� —d0$ <br />LOT <br />BLOCN <br />il,J„ l�i rr.��--�ui�l�:�Y;2 sr�i <br />i �i G , � % /y�� '?� l' <br />CONTACT FOR PERMR <br />��'i�� <br />�YrL.'I�i/1 /Jv� <br />PHONE <br />�:f j1 ' '_,Y <br />CONTRACTOR �1 h%7 CC�•�h//xicf%T/./ qpORE83 � � -� -- CITYl.LIP . <br />t . �..,='� /� : l ,,�:.�„ �°' /i r�::,�. ;�y U�. <br />� ,.,�.--_"�--r--�I � � <br />CONTR. LICENSE d��L i`. i�i.� i l�- � I S<;�(. C- , �� v G✓ '-�j �(,� <br />USE OF BUILDIN6 <br />WORK DESCRIPTION <br />HEAT SOURCE <br />EbcUlc _ Gas _ Olher <br />, f'�� l��/C. L�� f <br />NO. � TYPE OF FIXTURE OR ITEM <br />E <br />rona� <br />Bathtub <br />Levatory (wash basin) <br />Showor <br />Kilchen sink 6 disposal <br />Dishwasher <br />Clothes washer <br />Wator hoater <br />Slnk (sarvicelbadmop/utc.) <br />BackOow preventer <br />Ur(nal <br />Drinking Fountain <br />Floar draln <br />Greaso trap <br />Rool drains <br />Olhor <br />NO. <br />PHONE (� <br />�,y�•, .��%s�� <br />CONTRAC7 PRICE OF WORK <br />� t' <br />`���{� <br />TYPE OF FlXiURE OR fiEM <br />ac - �� he�aii� „ro� <br />Fo�ced air aystema <br />Gas piping <br />W atnr heator <br />Gas fireplaco <br />Gas range <br />Gothas dryer <br />Ranguhood <br />Exhaustfan <br />Heat pump <br />Unil hoaler <br />Boilet <br />RefrigaraUon <br />Woodstove <br />CfTY OF EVERETT LOCAL S/LLES TAX CODE IS 9105 <br />I horoby ceritify that I have read and exam�nod Ihia applicatlo� and kraw the same to be true end cortect. All provisions ot laws end <br />ordinacos goveming Ihis typo of work will be complied wlth whothor spodfled horoln or noL Tho grantlnp of e permit does not presume <br />to pive authorlry to Wolato or cancol Iho pmvisbn ol any other slale or lopl law regulatlnp consWdion or the peAormance o( <br />constniction. That I am authorizod by the ownmof this property to perfortn fhe work torwhMh applicatbn is made and I comptywitt� Ure <br />Slato Conirac�ors Law,78.27 RCW anA 298200 WAC. <br />! C, % /�/._ <br />i', �� � <br />L� <br />1IZ <br />