Laserfiche WebLink
PERMlT APPLICATION <br />CITY OF EV'tRETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - wv�v+.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS��� � j��� / <br />N <br />LEGA LOTIJO. BLOCK <br />DESC. <br />f�a�Jir��e <br />TENANT NAME <br />CONTRAGiun // / � <br />�l���'�� f��- v/i� L Av;/���' <br />CONTR. LICENSE # <br />USE OF BUILDING <br />S�� <br />TAX I.D. # <br />f'-bD7�-C%Z<I <br />TRACT OR SUBDIVISION r <br />✓`"'/�J � �6��i'�f�l/� <br />�CONTACT FOR PERMIT <br />��/ /'✓� F� <br />PERMIT x <br />��,� �G.3. /%l j <br />PHONE <br />/�.� rn2, 6 .% i'b <br />HEAT S RCE CONTRAc i rtcice ur wunK <br />_ � — �%111� �� - <br />Electric _ Gas Other � <br />WGRK DESCRIPTION <br />/c ��/�/�-�%D%/�� �.�/ i%/�� ��.r//�E`�✓�E <br />NO. I TYPE OF fIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kltchen sink & disposal <br />Dishv+asher <br />Clolhes washer <br />�Nater heater <br />Sink (service/bar/mop/etc.) <br />Backtlow preveMer <br />Urinal <br />Drinkina Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. � TYPE OF FIXTURE OR ITEM <br />/ <br />-T <br />A/C — air handling units <br />Forced air syslems � <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gas range <br />Cloihes dryer <br />Range hood <br />Exhaustfan <br />Heatpump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31�5 <br />I here6y certify that I have read and examined this application and know lhe same to be true and correcl. All provisions of laws and <br />erdinances goveming this type of work will be complied v+ith whether specified herein or nei. The granting of a permit does not presume <br />to give authority to •diolate or cancel the provision of any olher state or local law regulating wnslrudion or the performance of <br />conslrudion. That I am author;zP? by the owner of this property lo perform the v+ork for v✓hich application is made and I compiy with the <br />State C ra �� a+ 1827 RCW and 296.200 WAC. <br />�' / "�/�i <br />