Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />�_3 <br />TENANTNAME <br />P�RMIT APPLICATIG�� <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 FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />S�l i �i OUO OD <br />BLOCK � TRACT <br />, "''— i�� nrr_. <br />CONTACT FOR PERMIT <br />SvF_ <br />CONTRACTORrzEAi�SLE;L'i /IUM�S /1C ADDRESS�C�a~�/�I�, NG <br />CONTR. LICENSE p <br />USE OF BUILDING <br />WORK DESCRIPTION <br />NO. I TYFE OF FIXTURE OR ITEM <br />Toilet �11 <br />Lavalory (wash basinJT:}}- <br />ShowerfN <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/barlmop/etc.) <br />Back(low prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />- I I�I� I - <br />HEAT SOURCE <br />_ Electric � Gas _ Other <br /># <br />PHONE <br />�S'.2S�S7(o " 10 <br />CITYIZIP PHONE <br />/?QUiv�,iotil� �14� : <br />�CONTRACT PRICE OF WORK <br />// // �? C, ' (.. O <br />co a <br />NO. I TYPE OF FIXTURE OR ITEM <br />�7 <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfani��� I <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify lhat I have read and examined lhis applicalion and know the same lo be true and correct. All provisions of laws and <br />ordinaces governing lhis lype o( work will be complied wilh whelher specified herein or not. The granting of s pennit does not presume <br />to give aulhonty to violate or cancel the pro��ision of any other state or local law reguiating construction or the performance of <br />conslruclion. Thal I am aulhorized by lhe owner of lhis property to per(orm lhe work for which application is made and I comply wilh lhe <br />Slate Conlraclors Law 18.27 RC)N and�96.200 WAC. <br />S'�� <br />'IZ <br />