Laserfiche WebLink
SITE ADDRESS <br />G,t2/v l.o� <br />LEGA LOT NO. <br />DESC. � � L <br />PtRMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982G7 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM n <br />9-�-0, <br />vG R[ i'l � ppRCEL TAX I.O. # <br />���% w4lao,z7t00000ioo <br />PERMfi # <br />11�` '��"�i - � I <br />BLOCK TRACT <br />000 -b c�� Mcur�Tair+ v►G ��tDv .-rc C-.���t-r <br />— i ennacss nrvnic auo <br />t_ � � k�t�r; , f� PP /6 �2� ��LR,Ya.��- ��r��ti (4z�;)'347- 14q7 <br />TENANT NAME <br />CONTACT FOR PERMIT <br />PHONE <br />CONTRP.CTOR C���C� A�DRESS CITY2IP PH��Gz�l3�,� ��q.� <br />CONiR.LICENSEtI — �7I LY� LD''�Y Nv�' l%v����� 1�� <br />96 Zo�j WA �--- <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE UF WORK <br />��" �71 D� IJ G G' _ E�ectric �Gas _ Olher "—� <br />WORK OESCRIPTION � �`� <br />(Z i: �- LA�' � r.: t I— �u Rt.� .t�G G� vl� i H N A'f" Li /� �� <br />� <br />N0. � TYPE OF FIXTURE OR IiEM <br />Toilel <br />Balhtub <br />Lavatory (wash basi�) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waler heater <br />Sink (service/badmop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease trap <br />Roof drefns <br />Olher <br />NO. I TYP� OF FIXTURE OR ITEM <br />A/C — air handlin� unds <br />Porced air systems <br />Gaspipin9 '3�/4� l3LAtk P�(�� <br />Waler healer <br />Gas 5replace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unil heater <br />Boiler <br />Refngeralion <br />Woodstove <br />Other <br />CITY OF EVEREtt LOCAL SALES TA% CODE IS 3705 <br />I hereby ceritily thal I have read and examined lhis applicatio� and know the same to be true and covecl. All provisions of laws and <br />ordinaces goveming this rypo of y�ork will be complied with �vhether specified herein or not The granling of a permit does nol prssume <br />to give authorit to violate or caticel the provision of any other state or local law reoulaling consWclion or the pedormance o( <br />construction. h t I am authorized b jhe owner of this property lo pedorm 1he work (or which application is made and I comply with the <br />State Co acl�s Law �p' 7 FZC1��'�tid 29G200 WAC. <br />/�i1��/s'—��—� _.� .�iC�'t��, tS, `4� <br />