Laserfiche WebLink
P��2MIT APPLICA�'IG�J <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 g—��� <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />��� � s� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br /><3 o M �d�o,,w <br />LEGAL LOTNO. <br />DESC. 1� <br />TENANTNAME <br />t'nrK Rv�^uz <br />CONTR. LICENSE p <br />PF <br />USE OF BUILDING <br />Sin4 �c tc.,�.; <br />WORK <br />Ven uL <br />BLOCK <br />PARCEL TAX I.D. # I� RMI� <br />ooSoS7_ o00-0�7 - 02 <br />TRACT . <br />I /alerS � LCC �22'L � V.� ��c <br />I CONTACTFOR <br />(3�:�dvi� IC.G <br />96 <br />...-yzS-�%Y-9SSo <br />:a %�275 <br />PHONE <br />�!ell � �riw�� v 5'zs y7�-6� S�' <br />ADDRESS CITYIZIP PHONE <br />�z-iZl ��il��� t,*�,P��Ri�s F1�k�N�d gd�z�S <br /><4as) 3N9- 9ss� <br />lvzsj y�b -6oS8 <br />HEAT SOURCE I CONTRACT PRICE OF WORK <br />:s��tncc. I —Electric�Gas_Olher I 30c�000 <br />Ncw vnS�r.,.r,F�o.. of y;��lc �c.,y,ilr �o,+ae- , <br />NO. I TYPE OF FIXTURE OR ITEM <br />Tailel '�'/ <br />Bathtub /J <br />Lavatory (wash 6asin) "/!� <br />Shower �� <br />Kitchen sink 8 disposal <br />Dishwasher <br />Ciothes washer <br />Laundry lray <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. I TYPE OF FIXTURE OR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping �� � i <br />Waler heater <br />Gas fireplace ! <br />G�s range <br />Clothes dryer <br />Range hood <br />Exhaust fan f�/ � <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeretion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 7105 <br />I hereby cerifify that I have read and examined this application �nd know the same to be true and correcl. All provisions of laws and <br />ordinaces governing this type o( work will be complied with whether specified herein or noL The granting of a permit does not presume <br />to give authority to violale or cancel the provision of any other state or local law regulating construcUon or the peAormance of <br />consWclion. That I am authorized by the owner of lhis property to perform L:e work for which application is made and I comply with the <br />Slate Contractors Law 18.27 RCW and 296.200 WAC. <br />