Laserfiche WebLink
�3�dy Pti:..,..,� �3C�S�,SGL$ <br />--- -Tt- �- - I <br />c <br />�ERMIT APPLICATIQN ' <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />� 425-257-8810 - FAX 425-257-f1857 - ww�v.everettwa.org <br />APPLIGATIONS AKE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 3 CREDIT CARDS ARE NdT ACCEPTED <br />SITE ADDRESS <br />I �( p� <br />LEGAL LOT N0. <br />DESC. <br />S �'LIiLI'� <br />TENANT NA�dE <br />iJld nl✓�V, <br />�v <br />OLOCK <br />PARCEL TAX I.D. # <br />TRACT <br />PERMIT� <br />ADDRESS CITYIZIP PHONE <br />�LL�, <br />� CONTACT FOR PERMIT <br />CONTRACTORI Q�i4 h1L'C,la4..uc.r}1��+�. A�DRESS /� <br />��7� 1 PU.:-\ rJl. <br />CONTR.LICENSE# 2�i�"�'1L C.T * yS ( LC.- <br />� USE OF BUILDING <br />HEATSOURCE <br />_ Electric _ Gas __ Other <br />PHONE � <br />3�' %J %� lo ! � � <br />C'jITY/ZIP PHONE j <br />Il�'�A.�INYiJ.�`I.J.i, g�.iJ-%S�-.�p��0�' I <br />`1 flL 3 3. �I <br />WORKDESCRIPTiON I�Uu1�N 1�v w�'��., v��vZ, �-".}��L ��,��^�� <br />PLUMBING <br />y0. I TYPE OF FIXTURE OR ITEM <br />Toiiet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink R disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />IC[HI <br />C�ONTRAr,7 PRICE OF WORK <br />I lc'�ti�1. nv <br />� c'�co �..a �— <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handliny units <br />Forced air systems <br />Gas piping <br />� Waterheater <br />Gas fireplace <br />Gas range <br />_ Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />W oodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 <br />I hereby cerilify that I have read and examined this application and know the ;ame to be true and correct. AII provisions of Iaws and <br />ordinaces govarning thi� type of work will be cumplied with �vhether specified n�:^�n or noL The granting of a permit does not presume <br />to give authori'.y to violate or cancel the provision of any other state or local ia�v reguloting construction cr the performance of <br />conslruction. TJlaN �thouze� by the o��ner of this property W per(orm the work for which application is made and I comply with the <br />S te Cont ctors aw ta.27 R'' and 290.200 WAC. <br />� � � _ �—'���- 4 ' Z S,—' `� �r-- <br />