Laserfiche WebLink
PERMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES S_r� ,-v:6 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FA,Y 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />'_74-� � 1-1('���F50N rzD. * <br />LEGAL LOT NO. BLOCK <br />DESC. '� <br />CWNER Tf�A�r � J'�75nn f i�,C. �� <br />t <br />TENANTNAME !-t�N��' � v�=/" <br />L��c�N(�. i�1etiG;�i • iUYEN <br />CONTRACTOR <br />CONTR. LICENSE N � i f� �� <br />USE OF BUILDING <br />�ZF I i� i L- <br />WORK DESCRIPTION <br />.� j <br />PARCEL TAX I.D. # <br />TRACT <br />NI,1,' Sfl�`-�NIAM15k ga tt to� <br />� CONTACTFORPERMIT <br />lV f� r`-1 17F�0 <br />ADDRESS /� <br />��, �.f l r�, i. � �. <br />�� <br />. J i�� <br />HEATSOURCE <br />_ Elecfric _ Gas _ Olher <br />.� " I z � �,�U`� <br />y/'. - <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washcr <br />_ Water heater <br />_ Sink (service/barlmop/etcJ <br />_ Backflow preventer <br />_ Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease lrap <br />Raof drains <br />Other <br />NO. <br />� <br />� <br />��r'v? `Z 3 <br />PERMIT q <br />q-�- j� i �- 7�745� <br />PHONE <br />�e� �iy -�54-� <br />CITY2IP PHONE <br />CONTRACT PRICE OF WORK <br />�S C'�J� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gasrange <br />Clolhes drye� —•-• <br />Rang�haod � L'/i� =�— � <br />Exhauslfan � <br />Hcat pump /� / _ � �� � � U <br />Unit heater I/D�iP <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby ceritify that I have read and examined this applicalion and know the same to be Vue and correct. All provisions ot laws and <br />ordinaces goveming this rype of work will be complied wilh whelher specified herein er not. The granting oi a permit does not presume <br />lo give authority to violale or cancel the provision of any other state or local Iaw regulating conslruction or the performance of <br />conslruclion. That I am aulhorized by the owner of this propeAy to pedorm the work (or which application is made and I comply wilh the <br />State Conlraclors Law 18.27 RCW and 296.200 WAC. <br />SignaWre of Owner/CoNractor/Authonzed Agent Dale <br />