Laserfiche WebLink
SITE ADDRESS <br />�/.� -f �' • �.' �! <br />LEGAL JLOT NO. <br />DESC. <br />NAME <br />i <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8657 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. p <br />CONTACT FOR PERMIT <br />,.� --Ft; � i��z S <br />CUNTRACTdR ,- i � ADDRESS <br />C����/l�'� 5L11� <br />CONTR. LICENSE # <br />USE OF BUILDING <br />� �'�4�-I�i�c�1�i���i� <br />WORK DESCRIPTION <br />-'iC (\lJ-�'�� a� <br />(?I�� ����llt(C�� <br />�. ,,.., <br />I Z � D7 —06 <br />PERMIT A <br />PMONE <br />L � ,` �.., <br />HEATSOURCE <br />_ Electric ✓Gas _ Other <br />CITY2IP PHONE <br />C� D <br />CONTRACT PRICE OF WORK <br />��C% <br />�� �; �L,�,,�,c! ��C � r��;; I (�i ���r�� �'� ��1���'� i <br />i <br />1 < � , � �->�, -� ti �, �,.1� �, � ,>�� � � i r� � � <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />Ba�htub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clopies washer <br />Waler healer <br />Sink (service/6ar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinkinc� Founlain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Other <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water he 3ter <br />Gas firep ace <br />Gas ranr�e <br />Clolhes dryer <br />Range hood <br />Exhaust tan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove � - <br />Other 1 — �'k�c�i� �l�' �i.vt,l-ti �� <br />1 — I�r � h� ��1'J.a-"✓ <br />�-� \1��.��1� <br />� ��Ai.'+�� I�GILti�' <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />i hereby cerilify Ihat I have read and examined this application and know the same to 6e true and coRecL All provisions of laws 2nd <br />ordinaces goveming this lype of work will be complied with whether specified herein n� not. The granting ot a permit does not presume <br />to give authonty lo violate or cancel the provision of any olher state or local law reg�.ating construction or the performance of <br />construction. That I am authorized by lhe owner Qf this property to pertorm fhe work for which application is made and I comply with the <br />State Conlractors {,aw 18.27 RCW and 296.20 ,'WAC. <br />'�, � - l ��f��' � � ��� �'C��—L�� <br />� � <br />