Laserfiche WebLink
P�RMIT APPLICATIO�� <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 PYJI - DEBIT & CREDIT CARDS ARE NOT A:CEPTED <br />SITE ADDRESS <br />9 S .��. �� e-s- <br />LEGAL LOT NO. E <br />DESC. <br />OWNER <br />h v� � � <br />ENANTNAME <br />,IS e,.� e��C,� cc� �cv� <br />CONTRACTOR �i �AI/��i <br />�VY <br />CONTR. LICENSE # �'—'�� <br />1 �l_ <br />USE OF BUILDING <br />�C-� S U PARCEL TAX I.D. # <br />TRACT <br />ADDRESS CITYIZIP <br />���! � I;�d�= I le, S u� <br />CONTACT FOk PERMIT <br />P °`���o�e �� � Pc�f��,r 63 <br />��DRESS � CIN21P <br />�� l� i'U l� �� <br />HEATSOURCE <br />_ Electric � Gas _ Other <br />WORK DESCRIPTION � <br />'�����/'�2.C� /�-��'1 <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavato •ry (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Disliwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grcase trap <br />Roof drains <br />Other <br />rnv��� . I^' � /SiJ /9 <br />�/ o'J �Y �/ <br />�I���P�'111� �!L) 7 <br />PHONE ��� �'��,� S(I <br />' �a ) � 3 <br />� PAl' <br />% � <br />CONTRACT PRICE OF WORK <br />I �o � 70� `� — <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air syslems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas rango <br />Clothes dryer <br />Range hood <br />Exhaust(an <br />Heat pump <br />Unil heater <br />Boiler <br />Rafrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCaL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and corecl. All provisions of laws and <br />ordinaces governing this type of work will be complied wilh whelher specified herein or not. The granling of a permit does not presume <br />to give authonty to violale or cancel the provision of 2ny other slate or local law regulating construcUon or the performance of <br />c�kuction. Thal I am�( horized by the owner of lhis property to perform the work for which application is made and I comply with the <br />State dontrectors Law,18.�7 RCW anpfk96.20Q.1(�AC. <br />