Laserfiche WebLink
�191.1 <br />PERMIT APPLICATION <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 - DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS a Yi� PARCEI TAX I.D. N P RMIT�p �`1 � <br />220 5 G. F-J�iL'-t��f'f MAI.�. WR'( I �� d 30 2u� 4�'Wu I�`f v(� — � J <br />LEGALJ LOT N0. I BLOCK <br />DESC �r <br />OWNER <br />� P� G�l,��� Au.Ih�.tc.E� 4 GEti <br />TENANTNAME <br />A2cn Ati, � (�t+� <br />CONTRACTOR ��) <br />(N-��/1/pti �TIJi <br />CONTR LICENSE i � <br />USE OF BUILDING <br />TRACT <br />CONTACTFOR <br />�CITY2IP <br />� <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Eleciric � Gas _ Other { ��� n� <br />WORK DESCRIPTION <br />IIJ'T�Eic� �FNvVA'fID�1 � T�AuT IMI°�'oVE,w��f.�'( <br />NO. � TYPE OF FI%7URE OR ITEM <br />Toilet <br />Bathtub <br />lavatory (wash basin) <br />ShONBf <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry Iray <br />Sink (service/bar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Flour drain <br />Grease trap <br />Roof drdins <br />Other <br />NO. � TYpE OF FIXTURE OR ITEM <br />AlG — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Und heater <br />Boiler <br />Refrigeretion <br />Woodstove <br />Olher <br />f�'a+��� �t00� <br />CITY OF EVERETT LOCAL SALES SAX CODE IS 5105 <br />I hereby ceritity that I have read and examined lhis application and know the same to be true and correct. All provisions ot laws and <br />ordinaces goveming this type of woric wili be complied vnth whether specified herein or not. The granting o( a permit does not presume <br />to give aulhority to violale or cancel the provision of any other state or local law rngulating consWdion or the perfortnance of <br />construqion. That I am authorized by lhe owner of this property to perfortn lhe wo�lc for which application is made and I wmply with the <br />State Con�radors Law/18.27,RCW and 296.200 WAC. <br />��3 <br />