Laserfiche WebLink
SITE ADDRESS <br />s`E��B l:Lgm�N�7 <br />DESC. <br />f�WNER <br />/��",R y <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVcRETT, WA 98201 <br />425-257-8810 — FAX 425-257-8657 — www.everettwa.org <br />APPLICATIONu ARE ACCEPTED FROM 8 AIN TO 4 PM <br />si <br />�LOCK <br />L. I°ot��t/� .5`b'R�% <br />Cn/K y /`• l�ul �tav0 <br />CONTR. LICENSE # <br />USE OF BUILDING <br />/� 15'`J <br />PARCEL TAX I.D. # <br />TRACT UR SUBDIVISION # <br />s T, (�� <br />CONTACT FOR PERMIT <br />!l��v�Y �, P� 4 <br />HEATSOURCE <br />_ Electric _ Gas _ Other <br />F.l <br />�Dlo - �-"/ <br />P„�Nr ClGL� <br />y�5 �,3P-*��60 <br />PHONE y�,,-�,36-�7Gv <br />F.r.�n�� /� e P. fa.2�U�ri <br />CONTRACT PRICE OF WORK <br />WORKDESCRIPTION 'j�, ��,t�� ��� i cNrr�r/ hFi ¢.� ( ��1� (%.Kf/i�— <br />NO. I TYPE OF FIXTUftE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />� Kitchen sink R disposal <br />J� Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbarlmop/ela) <br />BackFlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />Mtl:tlANII:AL <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />W aler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustian <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br />I hereby ceriti(y thal I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type oi work will be complied wilh whether specitied herein or not. The granling ot a pertnit does not presume <br />to give authoriry tu violate or cancel the provision of any other state or local law regulating conslruction or the podormance of <br />consfruction. Thal I am authorized by the owner of lhis property to pertorm the work for which application is made and I comply with the <br />Slale Conlract. rs Law 18.27 RCW and 296.200 WAC. <br />/� 1.�,��/ �.•.-z�9 <br />