Laserfiche WebLink
PERMIT APPLICATION <br />51000"010° <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 />_b <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. # <br />PERMIT # <br />/ <br />35 SE E <br />AGL R lad <br />LEGA LOT NO. <br />BLOCK TRACT OR SUBDIVISION # <br />DESC. <br />OWNER <br />ADDRESS CITYIZIP <br />PHONE <br />TAN A)4trYEN <br />35 <br />ELIEREIT mAu, )h,/ �' 10l E �fatElf <br />VIe <br />ve gW <br />TENANT NAME <br />SE <br />CONTACT FOR PERMIT ,PHONE <br />�06 QSO 1244 <br />d0 Doe /J <br />MI NC}UyEAI EMAIL <br />L1151CCAJ P—ME"60.00 <br />CONTRACTOR-lk DEN 0 ce6D s+ ICrfv <br />CONTR. LICENSE # p DO D L g W 3 D P <br />USE OF BUILDING <br />WORK DESCRIPTION <br />STORE MOO- <br />S(d-pj <br />$(,OI NE IeA $T AZArMAJ ggaS , <br />HEAT SOURCE CONTRACT PKIUL Ur vvumm <br />_ Electric _ Gas _ Other 4 W °2 <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/mopletc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />— <br />— <br />— <br />— <br />— <br />— <br />— <br />— <br />— <br />— <br />— <br />— <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />Floor drain <br />Grease trap <br />Roof drains <br />Other. <br />— <br />— <br />— <br />— <br />Woodstove <br />Other. <br />_ <br />_ <br />_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am t rued by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractor�au <br />aw 27 RCW and 296.200 WAC. <br />