Laserfiche WebLink
SITE ADDRESS <br />'� �� <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />�"Ya'IYII 3(..�1'},Y I?S � <br />TENANTNAME <br />�Nw <br />W alY,c�- <br />CONTIi. LICENSE 1t <br />P�RMIT APPLICATIUN <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 />BLOCK <br />�c� <br />US �1(1C��L SSC.��'(�• \�-� <br />�C'.4,� \ C��' (1GC� <br />stn,� n <br />WORK DESCRIPTIOW � ��a�hOn O <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler healer <br />Sink (serviceNadmopletc.) <br />Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />PARCEL TAX I.D. # <br />OR SUBDIVISION N <br />FOR PERMIT <br />PEf�MIT It <br />llG �Cv�-G1 <br />PHONE��ZZ`� �l.( "13 <br />LZIS�c�� av� rnaM1�s��11e ��,Sg�ia <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />_ Electric _ Gas � Other � D��,Z yr7 <br />�r���►n�', �e11 � ��� � c�a r��o,e. . <br />NO. <br />TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Doiler <br />Refrigeration <br />Woodsbve <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />I hereby ceritify that I have read and examined lhis application and know lhe same to be lrue and correcL All provisions of laws and <br />ordinaces governing this type ot worh will be complied wilh whether specified herein or noL The granling of a permit does not presume <br />lo give aulhority to violale or cancel Ihe provision of any other slate or local law regulaling conslruction or the performance of <br />construclion. That I am authorized by the owner of lhis properly to pe�iorm lhe work for which application is made and I comply with the <br />S at Conlraclors Law 18.27 RCW and 296.200 WAC. <br />�'���l�,l(. �l�a -'<� 7�211DSS ,-�. <br />�� <br />