Laserfiche WebLink
PERMIT APPLICATION <br />C:ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />lo -/6-a<�' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />LEGAL LOTNO. <br />DESC. <br />OWNER <br />Aman's III LLC <br />PARCEL TAX I.D. # <br />BLOCK I TRACT <br />840Z Evergreen Way, Everett, WA 98Z08 <br />PERMIT # <br />TENANTNAME CONTACTFORP'cRMIT PHONE <br />� �. .= I Ste��en Thomson 425-917-210Q <br />CONTRACTOR InSlgnia S�gII lI1C. ADDRESS CIN21P PHONE <br />CONTR. LICENSE # <br />INSIGSI062QZ p0 BOX 2849 Renton, WA 425-917-2109 <br />USE OF BUILDING <br />HEATSOURCE <br />_ Electric _. Gas _ Other <br />CONTRACT PRICe oF woKK <br />WORK DESCRIPTION <br />Remove existing Chevron signage S replace with new Chevton Image Reftesh <br />signage. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />;lothes washer <br />Laundry tray <br />Sink (servicelbar/mop/elc.) <br />Backtlow preventer <br />Jrina I <br />)rinki ng Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />loines dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES SAX COOE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions o( laws and <br />ordinaces governing this type of work will be complied wiih whether specified herein or not. The granting of a permit does not presume <br />to give aulhority to violatepr cancel the provision of any other state or local law regulating construction or the performance of <br />cons tion. That I am �thorized by the owner of this property to perform the work tor which application is made and I wmply with the <br />Stat ntractors Law 8.27 RCW and 2962 O WAC. <br />/� /'✓:�✓1/ �iJ(!ffvlCf�( <br />�Ignawre of Own d ontrector/Authorized A ent Date �/ <br />( �- <br />