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 �'`� 6��f� <br />�� �� GU,�- 98�-0 ! <br />LEGAL LO NO. BLOCK <br />DESC. <br />OWNER ���� /, <br />G.�,l �, �, ii <br />�cx_ <br />TENANTNA E <br />C'/'2C�3' S'���a.� <br />�j/� I PARCEL TAX I.D. # <br />TRACT <br />CONTACT OR P RMIT <br />���e�'��G�SOGZ <br />� <br />1.�� i �L. ��� <br />PHONE <br />ZS <br />CONTRAC OR S��y'`7€ .��.TiCC, AODRESS CITY2IP PHONE �LS. s� <br />/�' ��� �l� l�C�l%� �v�r�f <br />CONTR. LICENSE p SL{��//���9,s4 �'� �_ ��_^ � LC� 9g�� g� �� <br />USE OF BUILDING <br />�5 r ���7C� <br />WORK DESCRIPTION <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhlu', <br />Lavalcry (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Waten c�ater <br />Sink (service/bar/mop/etc.) <br />Back(low preventer <br />Urina� <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />HEATSOURCE <br />Electric as _ Olher <br />CONTRACT PRICE OF WORK <br />�s.z, �3� z� <br />NO. I TYPE OF FIXNRE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />W ater heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodslov / <br />Other C � C �2'�lCLG(7 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby cerilify ihat I have read and examined thi� application and know the same to be tnie and cortect. All provisions of laws and <br />ordinaces c�oveming lhis type of work wiil be complied wilh whelher specified herein or nol. The granting of a pertnit does not presume <br />to give authority to violale or cancel the provision ot any other state or local law regulating construction or the performance ot <br />construclion. That I am authorized by the owrer of lhis property to peAorm the work tor which applicalion is made and I comply wilh the <br />Stale Contracto s Law 18.27 RCVJ and "y96200 C. <br />���dLG'L�/'��'�_ �'��'�G�L- ��"Z��U�o <br />