Laserfiche WebLink
P�RMIT APPLICATI�LN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evere;twa.nrg <br />SITE ADDRESS <br />P <br />LEGAL LOT NO. <br />DESC. I N � I� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK TRACT <br />OIS ���E Hy8s7 <br />i�n <br />ERMIT # <br />LP// " 00/ <br />I���c� �,�oS, 1�onnEs �22 S�T}hA��. N,� Eve�e�-k`iB2oS �i2S- 39i-�36o_ <br />TENANT NAME CONTACT FCn PERMIT PHONE <br />�el N�aac� �12S�2.qo-2�2,`� <br />CONTRACTOR <br />N,nwc1� t3 �.os . <br />CONTR. LICENSE # 1 l fl�C� <br />r-� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />AADRESS <br />3�aa g-,+�av�. N,� <br />zo i aD z <br />aTvair <br />L� e�.� �- ���2os <br />HEATSOURCE <br />Eleclric Gas Olher <br />(�EMu, C y,S �-S Tz�Uv S r� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Ba1hWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />D�sh•.vasher <br />Clothes washer <br />Waler healer <br />_ Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />_ Grease trap <br />Roof dr, ins <br />Other <br />?HONE <br />�25-3�17-��60 <br />CONTRACT PR�CE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />NC — air handlinc� uniis <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas (irepiace <br />Gasrange <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITI' OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y thal I have read and examined this application and know ths same lo be true and correcl. All provisions of laws and <br />ordinaces c�oveming this type of work will be complied with whether specified herein or nol The granling of a permil does not presume <br />to give aulhority to vioiate or cancel !he provision of any other slate or local Iaw regulatiny construction or the performance o( <br />construction. That I am aut orized by lhe owner of tliis property to periorm the work for which ap�!'cation is made and I comply with lhe <br />Stzle Conhaclors L�w 18.� RCW and 296.200 WF�. <br />• .r <br />