Laserfiche WebLink
�-ERMIT APPLlCATIVN <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 />APPLICATIONS ARE ACCEPTED FkOM 8 AM TO 4 PM �� -� D— U� <br />SITE ADDRESS 6�C�7 �V� P-C-�-'�E � pARCEL TAX I.D. # RMIT n <br />�pcl �U���-�i �I <br />LOT NO. � I BLOCK � TRACT OR SUBDIVISION # <br />DESC. <br />;.��°-r_, �c �1 <br />TENANTNAME <br />r=7 tiL �� <br />NUUKCJJ ���(� <br />�� / 'iv�����'���i. <br />c.c u/Fl � / <br />CONTACT FOR PE MIT <br />t �E �ac--rr • (25� ) Z-�-3 � 5���;� <br />PHONE ��j) Z..c� (� - cR � � <br />�6`.� C�ct P—�'�'�US �i�rn�s �i�LC�zi=l� e-mni� <br />CONTRACTOR y� ��C...� `�� 1��G A�DRESS (C 3,;,, GT• N CITYIZIP PHONE l���� ��� 4� <br />��� � - E • �C�701�1���a l <br />coNTa. uceHse a.� b�3F�j t3 �. G�23 �+'I �j �'��v� <br />USE OF BUILDING <br />J�� � ' <br />�"1�Cc rn_..� . (%1Cn7 � �€��s� 1^:i1 <br />HEAT SOURCE <br />_ Eleclric _ Gas _ Olher <br />CONTRACT PRICE OF WORK <br />�)�GCi � <br />WORK DESCRIPTION - ' U}p �C.IL [-L�G c:� � � � <br />-�' G� 1"7r) �. h.v.D F� e,' � f{ \^' C1��.l� g� fV o � j 1-+E <br />�p C c'�-�- <br />�5���•'J�= �) 1,�;-.>� {� ��c_,.'m I'1 ^»���� 1�� _ (ti��i . <br />� <br />PLUM <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlu6 <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />W ater heater <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease lrap <br />Roo( drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handlinc� unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heet pump <br />Unit heater <br />Boiler <br />Re(rigeration <br />Woodstove <br />Other <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />I hereby ccritify that � have read and examined this applicalion and know Ihe same to be true and correcL All provisions of laws and <br />ordinaces c�oveming fhis lype of work will be compfed with whether specified herein or not. The granting of a permit does not presume <br />lo give aulhority to violate or cancel lhe provision of any olher slate or local law regulatiny consWction or ihe performance of <br />construclion. Th3fl I am aulhorized by lhe o�ti.:zr o( lhis properly to perform the work for which applicafion is made end I comply with the <br />Slate Conlraclofs Law 18.27 RCW and 296.200 WAC. <br />- ��,trw� � � � -� � -2cc�8 . <br />