Laserfiche WebLink
SITE ADDRESS <br />�LEGA LOT N0. <br />P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. f <br />BLOCK I TRACT OR SUBDIVISION N <br />PERMIT 11 <br />M u 8u <br />Ct�� <br />l_��erP�-ti IQvc�� 3931 !-li•il� s�• £vzrc� l�Jol y95-3/9-7`/`/b <br />TENANT NAME I CONTACT FOR PERMIT PHONE y1j -�qU -/�} i U <br />(��y,� SCnru�SQiUcrs nF Jdd•CA• <br />E-MAIL —' <br />A I <br />SCn�ur .Scr✓�� o� �no.Go. �6.i3S '�'K1`��c lN `�3� -�90-1�SG <br />CONTR. LICENSE N � . . . . <br />USE OF BUILDING <br />s� �tS�c�cn�� <br />WORK DESCRIPTION <br />le�movc o I d gQs <br />Cn���l� n<� 5�s <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toiiel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposai <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/badmop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Other <br />HEATSOURCE <br />_ Eleclric � Gas _ Other <br />� �cv�.�rr M t'� o- ���w. l���se,,,�n <br />tJ«�fr 1'�(ul�j l.. Sn..�c Icltfn��Gr. <br />CONTRACT PRICE OF WORK <br />VI U G�1tn�jt <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y ihat I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied wilh whelher specified herein or not. The granling of a permit does nol presume <br />to give aulhority to violate or cancel Ihe provision o( any other state or local law regulating construction or ihe perfortnance of <br />construction. That I am aulhorized by the owr.er o( this property to perform the ��ork for which application is made and I comply with the <br />Stale Conlracto-s Law 18.27 � fa d 29�.200 WAC. <br />�i - �r ��1. �? o d Sr" <br />�rt3�ui�pf Owner/C�Nractor/Authori2�d7C�eTfl`-� Date <br />C <br />