Laserfiche WebLink
SITE ADDRESS <br />S�L,t� ��� <br />LEGALI LOT NO. <br />PERMIT APPLICATION <br />C{TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FPJ: 425-257-8857 - �nw+.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />�_ I � ��a�31 ony�3�/�,�' <br />BLOCK TRACT OR SUBDIVISION fl <br />- �..���fti� ��• [G�hg 5/ok <'e.�y ,d�� E'v{w•�r- � <br />TENANT NAME �g�� N�+� <br />CONTR. LICENSE il C�/E"Y%���% <br />USE OF BUILDING <br />9�0!'�Y� an/'iK <br />WORK <br />u <br />CONTACT FOR PERMIT <br />Jc'ia•� t't9� <br />HEATSOURCE <br />� Eleclric _ Gas _ Other <br />Z ST°�y BCa6 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />8alhlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 dlsposal <br />Dishwasher <br />C�othes washer <br />Water healer <br />Sink (servicelbar/moplelc.) <br />Backflow provenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />� Roof drains <br />Other <br />�tfoddy 5/i�l� �b5ci�v.•T <br />j�/-J�!/�G��04 <br />NO. <br />PHONE <br />l l � `�l -C% % <br /># <br />'MONE :� z S Ls� � <br />� r�Zs- zG 3 // <br />z5 z�z /&s � <br />zs ZC• 3 i/y/ <br />CONTRACT PRICE OF WORK <br />�Ji.vAfC �,.�: ti�)u�' f, <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />lNater heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Ranfle hood <br />Exhaust lan <br />Heat pump <br />Unit heater <br />�oiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TN( CODE IS 3705 <br />I hzreby centify thai I have read and examined this application and know lhe same to be Vue and correcl. All prowsions o( laws and <br />ordinaces governing this type ol work will br, complied with whether specified herein or noL The granting ot a permit does nol presum� <br />tu give aulhority to violate or cancel tho provision oi any olher slate or local Iaw reyWaling wnslruclion or the performance o( <br />consWclion. That I am 2ulhorized by lhe owner of this property ro peAorm the work for which application is made and I comply with the <br />Stato Conlractors Law 18.27 RCW and 296200 WAC. <br />/z <br />