Laserfiche WebLink
( <br />:RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />$ITE ADDRESS <br />a�l��i iiA2.�w AJ��- <br />LEGA LOT NO. <br />DESC. <br />OWNER <br />"`R'- n'��s 5 �-�cu� � <br />TENANTNAME <br />CONTRACTGR <br />CONTk. Llr,ENSE • ., � <br />_/I/� <br />USE OF BUILDING <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM <br />PARCEL TAX I.D. / <br />�r�zci � � <br />r <br />BLOCK I TRACT <br />CONTACTFOR <br />ADDRESS <br />HEATSOURCE <br />Electric Gas Other <br />WORKDESCRIPTION ��E��..,SH '�HE� �t� <br />l�^DG CmMPLsl9�vc� <br />NO. I TYPE OF FIX7LRE OR ITEM <br />Tollet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry iray <br />Sink (service/bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />NO. <br />�j-R -05 <br />r�,or� - <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORK <br />TYPE OF FOfTURE OR 17EM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gaa flreplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />E#�aust fan <br />Heat pump <br />UnR heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAI( CODE IS 3106 <br />I hereby ceritity that I have read and examined this applicatlon and krww the same to be true and comect. All provisions of lawa and <br />ordinaces goveming this lype o( work will be compiied with whether specified herein or not. The grantlng ot a permil dc��s not presume <br />to give authority tc violate or cancel the provision of any other state or bcal law reguladng construction or the perfortnance of <br />construction. That 1 am authorized by the owner of this property to perfortn the work for which applicetlon is made and I comply with the <br />$iate-C,elftractors Law 1827 RCNyan¢'Q96.2Q0��1C. <br />