Laserfiche WebLink
-, <br />�T r <br />�°� � �-�� � rRMIT APPLICAT�.�N <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 />/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />`, R(�� Lo �J��� ` <br />LEGA LOTNO. BLOCK <br />DESC. <br />OWNER <br />Kq�-� s �t <br />iENANT N E <br />CONTR. LICENSE it /� � ��� <br />(/ <br />USE OF BUILDING <br />S�G_ <br />WORK DESCRIPTION <br />PARCEL TAX I.D. t� <br />rnncT o� sueomsioN • <br />s go.� �G� l� � �����H <br />CONTACTFORPERMI7 <br />f�� <br />HEAT SOURCE <br />_ Eleclric � Gas _ Other <br />�(�--� e�_ �� � 13 <br />N0. I TYPF. OF FIXTURE OR ITEM <br />� Toilet <br />�Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (servicelbar/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease lrap <br />Roof drains <br />Other <br />PHONE <br />PERMIT / <br />/�r7lloi ' <br />ao6--7s3 `�aa7 <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC - air hand�ing unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas Tireplace <br />Gas range <br />Cblhes dryer <br />Range hood <br />Exhauslfan <br />Heal pump <br />Unit heater <br />Boiler <br />Reirigerelion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I hereby cerilify that I have read and examined this application and know the same to be true and cortect. All provisions of laws and <br />ordinaces governing this lype of woik will be complied with whelher specified herein or nol. The granling ot a pertnit does not presume <br />to c�ive authority to violate or cancel lhe provision o( any other slale or local law regulaling construction or the performance of <br />conslruclion. That I am authorized by the owner of this property to peAorm the work for which applicalion is made and I comply with the <br />Slate G�nlra�W�s Law 18.27 RCW and 296.200 WAC. <br />I l�' ` � /- 7 - /.�l <br />�y <br />