Laserfiche WebLink
SITE ADDRESS <br />r 0 2. �, <br />LEGA � LOT NO. <br />DESC. � � � � $ <br />� <br />� �,c7; <br />iENANTNAME <br />�'� �1, „ �- <br />��� <br />PERMIT 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 />I {�Cf'<" PARCELTAXI.D./ <br />hI4�(� �✓e 9 �C� S/��o>%S�l%C <br />BLOCK TRACT OR SUBDIVISION 11 <br />��, Ilr:_�X <br />PERMIT R <br />Z� 0 2 f�� F�i �a ��a fl✓t �✓�/C7y i S?.dl <br />CONTACT FOR PERMIT PNONE �Z5 r�rf �$' Ole'� Z <br />- ��: o�� � E.�N� �y��Nf��ya�� <br />(iV1YIKAli1VK . ' J.� %� .7� �/i✓Cy'tr!" %J�.. �%Z �ZC vs.� <br />�,D•�',.i C.�- �•~ /(�SSI lSos-�; SL �N%arJroe y78,U�7Z <br />CONTR. LICENSE 11 CJ82 rJZ <br />�j' ou� x9�'co 1/zo% <br />USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK� <br />r (1 �' I : 7J '� i � ` � _ Eleclric _ Gas _ Other � � q S � � � <br />%� <br />c�ZS <br />25°- <br />WORK DESCRIPTION �J� ���n p� QXi �i • r�� p0I C�� •� <br />I <br />(��, r, � . 1 ;���; ' '� 7' �,�t' i „ ���;c , <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/barlmop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease trap <br />Root drains <br />tlther <br />�r� . Ae�Gi NevJ dec�� Sta��S 4 <br />NO. <br />TYPE OF FIX7URE OR ITEM <br />AIC — air handling unils <br />Forced air syslems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Etthaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAI. SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this applicalion and know the same to be true and correct. All provisfons of laws and <br />ordinaces goveming lhis type of work will be comNlied wilh whether specified herein or not. The granting of a pertnit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />conslruction. That I am authorized by the owner ot this �roperty to pe�tortn the work for which application fs made and I comply with the <br />State Gonlractors Law-18.27 RCW and 296.200 WAC. ,_ <br />�QI• <br />