Laserfiche WebLink
P�RMIT APPLICATI(�N <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 <br />SITEADDRESS �� <br />Z �aJ� � �1 <br />� LOT NO. BLOCK <br />.= �,,. <br />TRACT <br />PARCEL TAX I.D. # <br />2qoS1'"1o0213�Oo <br />i�t=� `ST2-t�tr"F:' �P2=Cj,i�7R.S �—LG I21�,�] �i�u._c��t� t-w1�� ��o ��� ��4�g Bol <br />� � �.,T� P� � 2�a �i�2,� ° <br />TENANTNAME � CONTACTFORPERMIT PHONE <br />� ' f� C�k���� ��. �,�,�'��� � ��`ZJ�'7j \CJ��L.I�.J� . <br />CONTRACfOR ADORESS CITY2IP PHONE <br />CONTR.LICENSEN{ , <br />USE OF BUILDING <br />I��s� o� �'I a.�. �.F <br />, _ . � , 1 . , . . • . . . . . <br />HEAT SOURCE <br />Eleclric _ Gas _ Olher <br />WORK DESCRIPT�ON NFy G,�2A�� �'N b <br />�t-�-�NVR`: ��Ic"7l-1 <br />UAIhER �t�CIS�I�/G <br />�� �2� c�-� ' =-- ►'Zo S,� OEc <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavalory (v+ash basin) <br />Sho�ver <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (servicc/bar/mop/cic.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Flaor drain <br />Grease trap <br />Roof drains <br />Olher <br />CONTRACT PRICE OF Y'ORK <br />Z 7 �j!X.7 <br />UNf��l1� r�.t£d Sa 1'F�f.irT <br />( h�tovEr� ) I'io�S'B <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C -� air handling unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y Ihat I havo read and oxamined this applicalion and know the same to bo We and corrert. All provisions of laws and <br />ordinaces governiny this lype of work will b3 complied wilh whelher specified herein or nol. The granting of a permit does nol presume <br />lo givo authority to violate or cancel lhe provision of any other state or Iocal law regulating construction or the performance of <br />construction. Tha►�I�nkg thorized b Ihe owner of this pmperty to perionn the work forwhich applicalion is made and I compiy with the <br />Slale Conlractors L�i4H ��2 RCW �nd 296.200 4VAC. � <br />