Laserfiche WebLink
PERMIT APPLICATION <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 />SITE ADDRESS <br />�ri�)Pr <br />LLGAL LOT NO. BLOCK <br />U[SC. <br />OWNER <br />l.Or' I T lli��Q i 1 <br />TENANTNAME <br />JC< /17 <br />-�rr'a�c Fr f� /�%a/ -�g � <br />CONTR.LICENSEp F EL«��A�GGBS <br />USE OF BUILDING <br />WORK DESCRIPTION <br />1�N�1�C�c� ,�i�Fr <br />N0. I TVPE OF FIXTURE OR ITEM <br />PARCEL TAX I.D. N <br />oA sueorvis�oN x <br />��?l5 /3�ii�r'� <br />CONTACTFORPERMIT <br />�C( c,'/'Q <br />_ Toilet � n�Cj_\ <br />Balhlub O\U�1 \`� <br />Lavarory (wash basin) � <br />Sliower ��n � <br />-- K' I ' k 8 d' v �� <br />-- ��-i� - �`� <br />VI/c //Y/U J`�/._ <br />H T SOURCF <br />6leclric .XGas_v�her <br />__ dc ien sin isp � qQ ,. <br />__ Dishwasher O �' •'' <br />___ Clolheswasher ^���'� .••'��(�,\�05 <br />___ Waier heater �r� • J�P Set� <br />_ __ Sinh (service/bar/mop� c.) ,.OF J ��G <br />__ Backllowpreventer .•;�y 1Q b <br />_ Urinal •'' G� (�09 <br />__ Drinkinc� Pountain � ��2e <br />__ Floordrain �n9 <br />Grease trap <br />Roof drains <br />Olher <br />03 '3� <br />PHONE �C' 733 yS� % <br />E-MAIL LQp'�'�,C�C��f�PO�/� <br />3(�O 733 �/Sa7 <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />___ NC — air handling uniis <br />__ Forced air syslems <br />_ Gas pipin9 <br />__ Water healer <br />_.__ Gas lireplace <br />_ _ _ Gas range <br />__ qothes dryer <br />Range hood <br />_ Exhausllan <br />-- lieal pump <br />_ Unil heater <br />__/_ Boiler <br />_ Relric�eralion <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritily Ihat I have read and examined this application and know ihe same t� be irue and correct. All provisions ol laws and <br />ordinaces goveming Ihis type ol work will be complied with whether specilied herein or nol. The granting ol a permil dces not presume <br />lo give authoriry to violale or cancel Ihe provision of any olher slale or local law regulalinc� construclion or the performance ol <br />cens�ruction. Thal I am aulhoriced by Ihe owner ol Ihis properry to perform Ihe work br which applica�ion is made and I comply �vilh Ihe <br />Sla�e Conlractors Law 18.27 RCW and 2�JG.200 WAC. <br />,, ll _ , i _ <br />� 75 ` ; <br />