Laserfiche WebLink
SITE ADDRESS <br />LOT N0. <br />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 B AM TO 4 PM <br />PARCEL TAX I.D. # <br />BLOCK I TRACT OP SUBDIVISION lt <br />S-/3_G <br />PERMIT p <br />30�1 U �1 `O Z �� <br />CITY2IP PHONE -��4_-143_-��� <br />Ivon Nloun►r.:�n �t�oo t+urae,sor� S.�. f.vc.�c�}- .�18203� <br />TENANT NAME CONTACT FOR PERMIT PHONE �� —5� �_��� <br />'1r Cl �"� • h[I C1J�� U��C �[A �unnav `�-e,-} zvl� c.MAIL <br />...7esx�mce--�� _ , eili .TviSi6�A25F7�— <br />CONTR. LICENSE p <br />USE OF BUILDING <br />WORK DESCRIPTION � ��y 5O� <br />��,- <br />��I�,rf_r '� ,P : <br />NO. � TVPE OF FIXTUPc OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwashcr <br />Clothes washcr <br />water heater <br />Sink (servicelbar/mop/etc.) <br />Backflow prwenler <br />Urinal <br />Drinking Fountain <br />F'.cor drain <br />Grr.ase irap <br />Hool drains <br />Ulher <br />VG� r-w <br />SOURCE <br />_ Eleciric _ Gas _ Other <br />�'?vau.lar offi c.�. <br />//..' .,, / _�� . .°'.. <br />CONTRACT PRICE OF WORK <br />� �'I `I , DOO <br />TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forced air syslems <br />Gas piping <br />W ater heater <br />Gas tireplacc <br />Gasranoe <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Hcat pump <br />Unil healer <br />Boilcr <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hemby cerilify that I have read and examined this application and know Ihe same to be Irue and correct. All provisions ol laws and <br />ordinaces c�overning Ihis type ol work will be r.o:�plied with whether specified herein or noL The granlina of a permil does nol presumc <br />to give authority to violate or cancel the provision of any other state or local law regulating conslruction or the performance of <br />conslruction. That I am aulhorized by the owner of this property lo peAorm the work lor which applicalion is made and I comply wilh the <br />State traclors Law 182 H�lV�nd 296.2% W�C. l� <br />� ���' ��� �l/ � <br />,��Y�'� ��7!'�.l,��:._ <br />�z <br />