Laserfiche WebLink
P�,tMIT APPLICATIC���J <br />CITY OF EVERETf PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wuvw.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />3 6.3 J F��e�d l�kie <br />LEGAL LOT N0. BLOCK <br />DESC. <br />�Q� Ctrave�% <br />TENANTNAME <br />' �a �fi�u.v�C/� <br />CONTRA TOR <br />CONTR. LICENSE A <br />USE OF BUILDING <br />VVORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dfshwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Founfain <br />Floor drain <br />Grease Vap <br />Roof drains <br />Other <br />PARCEL TAX I.D. # <br />TRACT <br />� G 3/ F���'a/ �jue . �✓t^�� <br />CONTACT FOR PERMIT <br />�"�y G�a ��// <br />ADDRESS <br />HEATSOURCE <br />_ Electric X Gas _ Other <br />/�/9�/U L/ <br />PHONE <br />?ro/ �1t,r-7o8rC <br />PHONE <br />Yzs-3� �-6�/0 <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />NO. � TYPE OF FIXiURE OR ITEM <br />A/C — air handl(ng units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas flreplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust tan <br />Heat pump <br />Unit heater <br />Boiler <br />RefigeraUon <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be Vue and correct. All provislons of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating consWctlon or the perfortnance of <br />construction. That I am authorized by the owner of this property to perfortn the work for which applicatlon is made and I comply with the <br />State ConVactors Law 18.27 RCW and 296.200 WAC. <br />`�la"L— /� �/ S� <br />