Laserfiche WebLink
SITE ADDRESS <br />�LEGAL L0T NO. <br />12 <br />P�RMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SER�'ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-2:i7-8d57 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />J � �- v L.-�1N`� <br />BLOCK TRACT <br />PARCEL TAX I.D. <br />212,1�0 <br />Z-S�-oS <br />MIT # <br />ST�-�L�: ��xN�.s �-.Lc. .._-�Ziq� �i��w�K� t-�vk� c.�o Wo• ��- � <br />' c_�--r�z�e.. P�-.�t2�� `�b27� �4�8•oBpl <br />TENANTNAME <br />CONTRACTOR • <br />CONTACT FOR PERMIT PHONE <br />��-�r� ,• �QC'�1�� • <�`ZJ�7-CCJ�I„JC.J�J� <br />ADDRESS CITYlZIP PHONE <br />CONTR. UCENSE # � ' � � < � , <br />'�' . . . . . . .. — <br />USE OF BUILDING <br />�Z�S\ ��.-�.� �1 A-.L. `o.F'. <br />WORK DESCRIPTION <br />I:" <br />�l � J%+(�. -`I C� f -� <br />C� F• (L—F� � t� � � , <br />NO, I TYPE OF FIXTURE OR ITEM <br />Tailel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />L�undry tra;r <br />Sink (serviceibar/mop/elc.) <br />Backilow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease irap <br />Roof drains <br />Other _ <br />HEATSOURCE <br />_ Eleclric _ Gas _ Othcr <br />CONTRACT PRICE OF WORK <br />� �"J �!X.7 <br />NO. I TYPE OF FIXTURE OR ITEM11 <br />A/C — air handlinc� units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rango hood <br />Extiausl fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this applicalion and know the same to be lrue and correcl. All provisions of laws and <br />ordinaces governing lhis type of work will be complied with whelher specified herein or nol The granting of a permit dees not presume <br />to c�ive aulhority lo vioiale or cancel tho provision of any olher slate or local law regulaling construction or the pedormance of <br />consvuclion. Thali-aiii�ult��riZed by the owner ot this properiy lo pertorm the work for which application is made and I comply wilh lhe <br />Stale Contractors Law16 2p RG�/V and 296.200 WAC. � , <br />� ��-���� <br />1 <br />i� <br />L <br />