Laserfiche WebLink
SITE ADCRESS O <br />�`' S � <br />LEGA LOT NO. <br />DESC. � ( �aR <br />OWNER <br />�, r� �+�u <br />TENANTNAME <br />l� <br />CONTRACTOR <br />PEKMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-II810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />CONTR. LICENSE # � L'J J�( � n� <br />USE OF BUILDING <br />�i 1 <br />flic� \G �4�-Y�• <br />WORK DESCRIPTION <br />� M�r-� `, \7 i 11 �- D Fl �� <br />NO. I TYPE OF PIXTURE OR ITEM <br />Toilet <br />BathWb <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhns washar <br />Water heater <br />Sink (service/badmop/olc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof draina <br />Olher <br />PARCEL TAX I.D. # <br />L'� D Y'1-OOz --� y I-- <br />TRACT <br />'��sy .�. ���r <br />CONTACT FOR PERMIT <br />ADDRESS <br />��T, 9Bzc3 � <br />PHONE <br />CITY2IP PHONE <br />��_p 6 <br />IT # <br />�i,^i � _ / �� <br />HEAT SO E CONTRACT Pj210E OF WORK <br />Electric _ Gas _ Other ���f 3�j� 0� <br />ap�� eF=�-X�S'i—�i—tq �o45T.�T1+ <br />� <br />IYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unil heater <br />Builer <br />R-�(riyeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br />I hereby cerilify thal I have read and examined lhis application and know the same to be lrue and correct. All provisions o( laws and <br />ordinaces goveminc� this lypo of work will be complied wilh whelher specified herein or not. The yra�ting ot a permit does nol presume <br />to give authoriry lo violale or cancel Ihe provision of any other stale or Iocal law regulating wnstruction or the performa�ce of <br />conekuclion. Thal I am aulhoriz d by lhe owner of this property to perform Ihe work for which applicalion is made and I comply wilh the <br />st:�'e Contrac:ors-{.aw �8.27_K�W and 296200 WAC. <br />. L- , <br />lLLuz .�� �. <br />' �7 <br />