Laserfiche WebLink
SITE ADDRESS <br />7��� l_/N, <br />LEGAL LOT NO. <br />DESC. <br />�ERMIT APPLICATION <br />CITY Oh• EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERETT, WA 982Q1 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />?.PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK � TRACT <br />PARCEL TAX I.D. # <br />�Z-UU/-„�QD-p00 <br />ETiE�'f'Y,rfibOf/.✓G �/dT//�/I, 3/a7 C`n�dYAc�F 9iZa/ 5%,T.3a z//2 / <br />TENANT NAME CO�iTACT FOR PERMIT PHONE <br />— 1<�y� /v�f� ���r�� �cs�� / d <br />CONTRACTOR AUDRESS CITY/ZIP PHONE <br />EvF.PEiT ydf/r�G f�vTH,f'. 3/�� 7 l'n� G y.4l/E" ��'7_ d/ <br />CO4TR. LICENS[ # //.�J�� Q� ; �� <br />r� o <br />USE OF 9UILDING <br />c�� <br />WORK DESCRIPTION <br />HEAT SO�IRCE <br />_ Electric f/ Gas _ Olher <br />,�f'�,�i/'��i:o�E-1 �.r'i�Ti.�G .PF/GFivCF <br />NO. � 7YpE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavatory (wash basin) <br />Shower <br />Kilchcn sink 8 disposal <br />Dishw.^.sher <br />Clothes washcr <br />Wafer I�cal�r <br />Sink (soivice/bar/mopfetc.) <br />�ack(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo� drains <br />Olher <br />CONTRACT PRICE OF WORK <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Farced air systems <br />� Gas piping <br />� Waterheater <br />Gas fireplace <br />Gas range <br />/ Clolhes dryer <br />� Range hood <br />� Exhausl fan <br />Heat pump <br />Unit healer <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL 3ALES TAX CODE IS 7105 <br />I hereby cerilify Bial I have read and examined this application and know tlie same to be true and correcL All provisions o( laws and <br />ordinacus goveminc� this �ype o( work will be complied wilh whether speci(ied herein or noL The granling of a permit does not presume <br />to give authority to violale or cancel the provision of any other stale or local law regclating construction or the pedormance of <br />cons[ruction. Thal I am authorized by the owner o( lhis property to perform the work for which application is made and I comply with Ihe <br />State CQyrm�Dr,s La�v 1f327 RCW and 296.200 WAC. <br />/�-sn�o 9 <br />