Laserfiche WebLink
. . �C:RMIT APPLICATIF v <br /> CITY OF EVEkETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8657-www.everettwa.org (�703'� <br /> ��/� � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Z <br /> SITE ADDRE85�=�i I�.���I � PARCEL TAX I.D.R PERM�D��� <br /> W1 � / <br /> ES0. LOT N0.�(\ BLOCK TRACT <br /> `J ' I�,�,DDRE8p5�.`L CRYRIP PHONE � ,�yl� <br /> ONMER �� L.LL� 7v T �'�E�OZ (LGCQ�+IYNG�� 70� <br /> TENANT NAME CONTACT fOR PERMIT PHONE <br /> I �B�'�La.I/ hrJ �25-75� - !` <br /> CON7RIICTOR DDRESS CITYRIP PHON <br /> ,�Q�ridx-�Q- S�Zd= S3 •��70 <br /> ��►„�.��E��ma�t-�iuS�B� 9�'� 5`-�it/�'``/�7, �G�t°�'o� l�i� <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eledric ✓Ges_OMer <br /> WORK D SCF RIPTI�� � � r <br /> �C� . <br /> ��i l��J <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF Fl%TURE OR ITEM <br /> 3_ Toilet A/C—alr hendling unds <br /> r— Bethtub GBcedairsyatems <br /> � Lavelory(wash besin) � ��� <br /> � Shower L, Water Maler <br /> ,_(_ Kitchen sink 8 disposel � Ges fireplace <br /> � Dishwesher .� Gesrange <br /> Clotheswasher 1 Clothesdryer <br /> _ Leundry tray _t— Range hood <br /> Sink(servicelbar/mopletc.) Exhaust fen <br /> Beckflow preventer Heet pump <br /> ~ Urinel �„ Unfl heeter <br /> _ Drinking Fountein _,_ Bdler <br /> Floor drain _ Refigeretion <br /> Grease trap _ Woodatove <br /> Rooldrains — �� <br /> Other — <br /> CITY OF EVERETT LOCAL 9ALES TA%CODE IS 7106 <br /> I hereby ceriUfy thet I have read and exemined this epplicetlon end krww lhe seme to be Vue end cortect. AI�provislons ollaws and <br /> ordinaces goveming lhis type of work will be complled wNh whether spadfied herefn or nol.The grenUng of e permk does not p�esume <br /> to give euthority to violate or cancel the provision of eny other stete or locel law reguladng constnietion or the performenc°af <br /> construction.Thet I am euthorizad by the ownar of this property to perfortn the work for which epplkation is mede end I comp�y`��° <br /> Slete CanUactcrs Lew 18.27 RCW and 296.200 WAC. <br /> �� �/ " L� � <br /> S gnature o er/ ontredor/ orized Agent ate <br /> ) ' <br />