Laserfiche WebLink
SITE <br />� 3d3 <br />LOT NO. <br />P�RMIT APPLICATIbN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. N <br />N,r� .�v= �o�/Ui�y��ooio� <br />BLOCK TRACT <br />�l i 7 �'Af' na �%-:r � � ,�1 oP �?w.v � Z <br />i'' �'- /� <br />uwneR n�PRess cmiziP PMONE 2ob gy �_ g y5 <br />KA�N {i'�',vEE,�IA.0 P-C7. 3ox / Z�'jU7 EvE.¢F%T li/A �'206- zSo7 <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />SM'�E' �.� b�-SoN 'i2 S 5a8 tP� Z <br />CONTRACTOR Q,4G� F� (��yp�66S ��' <br />CONTR.UCENSEM �,c}C��/ bSa� <br />USE OF BUILDING <br />C�A '�CAGE <br />WORK DESCRIPTION <br />Coru 57/c.>c.7 <br />��'x3�' <br />PLUMBING <br />NO. � TYPE OF FIXTURE OR j71 <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower � <br />Kitchen sink & dis s: <br />Dishwasher <br />Clothes wash <br />Water heal <br />Sink (serYice/badmopi <br />Backfloydprevenler <br />Dn ing Founlain <br />F or drain <br />rease lrap <br />Roof drains <br />Olher <br />ADDRESS CITY2�P PNONEyZS 254-�3�/ <br />�72(o IeVC-!'E¢ '�G FjJ� ni$201 <br />HEAT <br />_ Electric _ Gas _ Other <br />O �-; �,� G.a��� <br />� <br />CONTRACT PRICE OF WORK <br />/��Z//_Ob <br />S�1Q �i <br />TYPE OF FIXTURE OR <br />A/C — air handling units <br />Forced air systems <br />Gas pfping <br />Water heater <br />Gas flreplace <br />Gas range <br />Clothes dryer <br />Range hoo <br />Exhaust n <br />Heat o 0 <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined lhis applicalion and know lhe same to be lrue and cortect. All provislons of laws and <br />ordinaces governing this type of work will be complied wilh whelher specified herein or not. The granting of a pertnit does not presume <br />lo give authorily to violale or cancel the provision of any olher stale or iocal law regulatlng construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work tor which application is made and I comply with the <br />Slate Conlractors L 18. RCW nd 296.200 WAC. <br />/� ��� � zl�y/o� <br />:iignature o�OwnedContractodAuthorized Agent Date �/ <br />� <br />