Laserfiche WebLink
PtRMIT �4PPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�� �'� � � 1� Sn4� 57-8810 - FAX 425-257-8857 - ww�r�.everettwa.org <br />i� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />LEGA� LOT NO. <br />K4�uNC� sr-r It.l <br />TENANTNAME <br />;�' �� 6--0� <br />� rJ PARCEL TAX I.D. # PERMIT if <br />9�Sot�l f�lJ. �o �� � I 2 o D �/�7� `� <br />BLpCK TRACT <br />ADDRESS CITY2IP PHONE <br />INV�c-r�i� (�4ia �-�r� � NC- � �80 <br />I CONTACT FOR PERMIT PHONE <br />xu�r�� �. <br />CONTRACTOR <br />i-al�NsCC "` � d �> o <br />CONTR. LICENSE # �. <br />USE OF BUILDING <br />NPti l_ S41� ti C�� <br />WORK DESCRIPTION <br />I-t-l-�.t cli � l �- ��U -Z� �' <br />I�AAti'g�s�r;s� S 1 <br />1 � � S '�3v'a„ 5� . <br />HEATSOURCE <br />_ Electric �,Gas _ <br />- � �IITI /kc-- ?t-N�NT 1 Nf���G•�t�tT. <br />N�I� ���� <br />.,, <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Ba�htub <br />Lavatory (wash basin) <br />Shower % <br />Kitchen sink & disPosal <br />bishwasher <br />Clothes washer <br />Wator heater <br />Sink (serviceNadmop/elc.) <br />Back(low eventer <br />Urinal <br />Drinkinc� Foun in <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />CITYIZIP PHONE ��� <br />C - zo $ . r�0.el-�- �- �lv' <br />I CONTRACTPRICE WORK <br />Other <br />z.5'ov0 . <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />_ Heat pump <br />Unit healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined Ihis application and know lhe same to ba true and correcL All provisions ot laws and <br />ordinaces governing this typo of work erill be complied wilh whether speci(ied herein or not. The granting of a pertnit does not presume <br />lo give authorily to vioiate or cancel the provision of any olher state or local law regulating construction or the perfortnance of <br />construciion. Th2t I am aulhorized by �he owner of this property to periorm the work for which applicalion is made and I comply with the <br />Stale ConlractorY Law 16.2� RCW and 296200 WAC. <br />