Laserfiche WebLink
P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.evereitH�a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SI7E ADDRESS <br />A��3 LIJ' <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER /'+ <br />(�+'N4Ly J��, X-C <br />TENANTNAME <br />rj �°Q✓�C� %�da,: f <br />CONTR. UCENSE N <br />Sc=,QV �F Ot 3 <br />USE OF BUILUING <br />PARCEL TAX I.D. N <br />TRACT OR SUBDIVISION N <br />t � �i� 3 (�-� �k.. <br />CONTACT FOR PERMIT <br />P�F;M�A�� ^ \ � <br />��� � d <br />�s �� ��� <br />PHONE 3� _4� yy�ls <br />�JD I � 11L0 �ty��•�e r�; ��rn�ncLlZs'3� J�7� <br />HEATSOURCE <br />Electric Gas Other <br />WORK DESCRIPTION <br />Ll�y� �� qas W�' 1.� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavalory (wash basin) <br />Shower <br />Kitchr,n sink & disposal <br />Dishwasher <br />Clalhes washer <br />Water heater <br />S�nk (service/bar/mop/etc.) <br />Back(low preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />O�her <br />CONTRACT PRICE OF WORK <br />NO. 1 TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />� Waterheater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihal I have read and examined Ihis appli:ation and know the same to be lrue and correcL All provisions of laws and <br />ordireces governing Ihis lype o( work will be complied with whether specified herein or not. The granting o( a permil does not presume <br />to give authority to violate or cancel the provision o( any olher slate or local law regulating consWclion or thcr performance oi <br />conslruction. That I am authorized by the owner of this property lo perform the work for which applicalion is made and I comply with the <br />State Contractor� 827 RCW and 296.200 WAC. <br />, ., �4- % �'- !�(-U7 <br />