Laserfiche WebLink
SITE ADDkESS <br />.5� � o c� <br />LEGA LOfNO% <br />D[SC. <br />OWNEfl <br />/�j4UL��ST�R <br />TENANT YAME <br />S �n�e <br />Gcl/6�e.J <br />CONTR. LICENSE p <br />USE OF BUILDING <br />��S <br />_� � <br />�PERMIT APPLICATION <br />CITY C�' EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88 t 0- FAX 425-257-8857 - www.everettwa.org <br />APPLlCATIONS .4RE ACCEPTED FROM 8 AM TO 4 PM �'I -a�f -47 <br />PARCEL TAX I.D. # <br />hU,U Ga 9S-�oLaoo�oo <br />BLOCK TRACTOR SUBCIVISION p <br />S �/ / �( . G a — <br />S <br />C.o.usr� u c,�oti! <br />�L'r�RFc'� 93GK <br />CONTACT POR PERMIT <br />,���v G�ii6R�,cl <br />I C � �n,� ����: <br />PHONE /y��1 <br />�ya � -� <br />PHONE C.3�) E�S/�/�I3� <br />i � <br />----.. ��.a,�/,:,d,.o <br />HUUIlC.7J <br />6�o s- �-a ��i R/u� M s v� 9� �.�o (3eo) <br />HEATSOURCE <br />_ ElectricV G�� _ Olhcr <br />WORK DESCRIPTION j ROO/YI � G'�(�j.(.�c /4 /� �J / j7 U/� <br />NO. I TVPE OF FlXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />�ishwasher <br />C�othes washer <br />Water heator <br />Sink (service/badmop/etc.) <br />Backllow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — air handling units <br />Forccd air systems <br />Gas pipirg <br />Walen c�arer <br />Gas lireplace <br />Gasrange <br />Clothes dryer <br />Rang�hood <br />Exhausifan <br />Heat pamp <br />Unit heater <br />Boiler <br />Refrigeration p H i <br />Woodstove N�`" <br />Olher _ <br />CITY OF EVEflEiT LOCAL SALES 7AX CODE IS 3105 <br />I hereby ceri6fy that I have read and examined this app!iw�on �.::� :..._. "-- � � ' ' ' ' � � ' �" � - � � - - <br />...._......�._...__.._.,.,......,,......,.,,._...,_._- _._ <br />ordinaces goveming this type oF wodc will be compLed r:::h :e::;: �.i::- - ':.. " . � . — . . � <br />in aiva autluiriN tn wilata pr carrri itw i+mvi�inn nf any :: l': : . _: .. ..�.� ..... _.. _,� . ... .. . . .. .. . . . . .. . . .. . . . <br />c��e••� �c•,�❑ �^n• �,^ ^, �•vac,nn m, rn� m•mnr nr �mc mm�nnu t; on�inrm mn wnnc tnr wnir.n anniu:annn ic manw ann i rnmnrv wnn ma <br />_��� . `' <br />�L <br />� I�1�-�\. , J'% ��— <br />com <br />