Laserfiche WebLink
PERMIT APPLlCATION <br />CITY OF EVEREI T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />910 SE Gverett Mall Way <br />LOT NO. � BLOCK <br />DESC. <br />�tadison Development <br />TENANTNhME <br />k:ita Cameras <br />CONTRACTOR <br />Impero Contracting Co., LLC <br />CONTR. LICENSE # <br />USE OF BUILDING <br />Retail <br />WORK DESCRIPTION <br />Plumbing INstallation <br />PARCEL TAX I.D. # <br />28051800306100 <br />TRACT <br />�'J-= �.�.:,. <br />105:0 NE Northup Way Ste 120 Kirkland, WA 98033 42 <br />I CONTACT FOR PERMIT PHONE <br />Greg Nelscn 360-770-1006 <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />� Sink(service/bar/mop/elc.) <br />BackFlow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />ADDRESS CITY2IP PHONE <br />1971 Ptidway Lane Suite N Bellingham, WA 98226 <br />360-733-7052 <br />HEATSOURCE <br />_ ElecMc _ Gas X Other <br />CONTRACT PRICE OF WORK <br />�yoo,000 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water he�ter <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Olher <br />CIN OF EVERETT LOCAL SALES TAX COOE IS J705 <br />I hereby ceritify that I have read and ezamined this application and know the same to be true and correct All provisions of laws and <br />ordinaces governing lhis type of work will be complied with whether specified herein or nol. The granling of a permil does not presume <br />to give auMority to violate or cancel ihe provision of any olher stale or local law regulaling conslruction or the performance of <br />. construction. That I am authorized by lhe owner of this pmperty to pedorm the work for which application is made and I comply with lhe <br />State Co ac9rs Law 1� W and 296.400 WAC. _ <br />I .�`v�- �'+'✓v'�+-.�—t� ��Z� �� <br />�-_ <br />