Laserfiche WebLink
SITE ADDRESS <br />LOT NO. <br />P��2MIT APPLICATIOrI <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 />� <br />BLOCN � TRACT <br />PARCEL TAX I.D. # <br />/a„ ;Lo--o 6 <br />PERMIT A <br />So�(o-U�I <br />/'"/�cj' /�<c^�'� �` 7� .f��.� �/ �L J�l.f St S.�/�^{)U�i l�i� /C�' <br />TENANTNAME CONTACTFORPERMIT PHONE <br />o � <br />�'LZc �:; C c�i� ��:r �f'���K C�v�: �7ze7 vzs- 3� c �'�� � <br />CONTRACTOR <br />ADDRESS <br />�:'^'T Si[vi� S��'✓/c�: S../C�i� �nJl/t« ELe�'z'7l hi' j <br />CONTR. LICENSE # �'C%-� % <br />G�l`-� , = ���'�P4' <br />USE OF BUILDING <br />) Y ( !. <br />n i �: l <br />WORK DESCRIPTION <br />L�VJ i i:'C� C.Vt [ �1.�����i✓c:-� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />BackOow preventer <br />Urinal <br />Drinkin� Founlain <br />Floor drain <br />Greaso trap <br />Roof drains <br />Olher <br />HEAT SOURCE <br />Electric Gas Other <br />C-�`17z�� i�i cY'� i� <br />NO. I <br />CITY2IP PHONE <br />�r>iti c���7c. (5�'>—� <br />�Znd/a; <br />6Y.a `/�'c+/Z <br />CONTRACT PRICE OF WORK <br />�D <br />�� y �� �i Cl� � <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handlinc� unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust tan <br />Heal pump <br />Uni[ heater <br />Boiler <br />Refrigeration <br />Woodslove <br />CITY OF EVERETT LOCAL SALES TN( CODE IS 3105 <br />I herehy cerilify thal I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br />ordinaces governin� this type of work will be complied wilh whether specified herein or �ot. The granting of a permit does not presume <br />to give aulhority to violate or cancel the provision of any olher stale or local iaw regulating conslruction or the perfortnance oF <br />construction. Thal I am authorized by the owner of this property lo perfortn the work forwhich application is made anA I comply with the <br />State Contractors Law 18.27 RCW and 296200 WAC. <br />��'�-h�'�•�• <br />�iz <br />