Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />.,2�? � f�1(,�fLA,�I � .�`2_ <br />LEGA�OT NO. BLOCK <br />PARCEL TAX I.D. # <br />TppCT OR SUBDIVISION p <br />Hd2i� L�5[/y '„1��..l� .¢�� n1C <br />PERMIT M <br />� � ���ss���-9737 <br />TENANTNAME CONTACTFORPERMIT PHONE <br />(�/� y � >. »s�-��t�f <br />l�i��."}�� iC/MLG�� E•MAIL <br />CONTRACTOR AODRESS CITY21 PHONE <br />��-�l�i � PuH�U o-rtr� iL�/y �3,�t a,n,�i LnY��n��ax� ��z�-�?�G4"li�F <br />CONTR.LICENSEp Dg�,��1 pH 9yu,t�i `](��j j <br />USE OF BUILDING <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_, Eleclric �Gas _ Olher �Y �� / p7-J � �C.l <br />WORK DESCRIPTION <br />k'cf'LAcF �,e(577ti1C-- Gfl" � '�i/�/vk�'E• G�'/%t"l N�� �S �i�CN'AC� <br />'lN �SfFiYi� Li-CPTIUni� niQ /J£'�t� i9'/t5 +�/P��v�-• <br />NO. I TYPE OF FIXTURE OR ITEM <br />Tollel <br />Balhtub <br />Lavatory (wash basfn) <br />Showor <br />Kitchen sink & disposal <br />Dishwasher <br />Ciothes washer <br />Waler healer <br />Sink (service/bar/mop/otc.) <br />Backllow pravenlor <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. I TYPE OF FIXTURE Oq ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Watar healer <br />Gas tireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit hea�er <br />Boiler <br />Refrigeration <br />Woodslove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceritify that I have read and examined this applicalion and know lhe same to bo true and correcl. All provisions ol laws and <br />ordinaces c�overninc� this type o( �vor{c will be compiied wilh whether speci�ied herein or noL Tho grantmg ot a permit does nol presume <br />to give authoriry to violale or cancel Ihe provis(on of any other slate or locai law regulating construclion or the performance of <br />conslruclion. Thal I am aulhorized by Ihe o���ner ot this property to perform ih= work for which applicalion is made and I comply wilh Ihe <br />S�a�eS�P Iractors Law 7 R W 9G200 WAC. <br />�`� ��!� �-c'� � �/D /� % <br />