Laserfiche WebLink
SITE ADDRESS <br />�4 S <br />LEGAL LOT NO. <br />DESC. <br />o""NER.rnote.� � <br />� � °�• �-�' �I <br />TENANTNAME <br />x ���T <br />CON7RACTOR �`��1� <br />CONTR. LICENSE # � <br />tl,� f�c��l <br />USE OF BUILDING <br />N c�.� �— � � <br />WORK DESCR�PTION <br />PtRMIT APPLICATI()N g_��-o � <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 />i�s0�.1 � <br />PLUMBING <br />NO. I TYPE OF FIxTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher _ __ <br />PARCEL TAX I.D. # <br />CONTACT KOR PERMIT <br />aoEG�- U� <br />ADDRESS <br />.--�s-� i t�kx. p�Cti � <br />'�d�uc.�,�g ; W�r � <br />HEATSOURCE <br />�Eleclric Gas �ther <br />�S�) � -?� <br />CITY2IP PHONE <br />�`� ��)�� s-��� <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustian <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />� <br />CITY OF EVERETT LOCAL SALES TA7C CODE IS 3705 <br />I hereby ceritify Ihat I have read and examined this application and know the same to be true and cortect. All provisions of laws and <br />ordinaces governing Ihis type of work will be complied wilh whelher specified herein or not. The granting of a permit does nol presume <br />to give authority lo violale or cancel the provision ot any other stale or local law regulaling wnstruction or the performance of <br />conslruction. Thal 1 am authorized by the owne: of lhis property lo perform the work for which applicalion is made and I comply with the <br />State Contractors Law 18.�7 RCW�ad 296200 WAC. / <br />