Laserfiche WebLink
SITE ADDRESS <br />LOT N0. <br />TENANTNAME <br />L.arStn C'or�5f. <br />CONTR. LICENSE # <br />USE OFBUILDING <br />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 />BLOCK <br />PARCEL TAX I.D. # <br />v.�. rr_� <br />TRACT OR SUBDIVISION M � <br />g Yi�.o�e �z� <br />CONTACT FOR PERMIT <br />►✓l�kc I.a�se� <br />nv�nc�a <br />�a�io� � l��bs�, Qd <br />PERMIT# <br />—�i4 <br />�� <br />'fas-93�- (0933 <br />PHONE yds- 3a�- as 3S <br />E•MAIL <br />l.11 rlur <br />-ioi �,,�N y�aev yds-3�7-d53S <br />HEAT SOURCE <br />%, E�eclric _ Gas _ Olher <br />WORK DESCRIPTION <br />��P�� D<<� �o�s� <br />NO. � TYPE OF FIXTURE OR ITEM <br />Toilel <br />BathWb <br />Lavatory (wash ! asin) <br />Shower <br />Kitchen �i:ik & disposal <br />Dishwrsher <br />Clothea washer <br />W ater heater <br />Sink (service/bar/mop/elc.) <br />Backtlow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof �rains <br />Olher <br />CONTRACT PRICE OF WORK <br />� %DD, � <br />NO. I TYPE OF FIXTURE OR ITEM <br />rVC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cbthes dryer <br />Ran�e hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeretion <br />Woodstove <br />Olher _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby cerilify thal I have read and examined lhis application and know the same to be true and correcl. All provisions of laws and <br />ordinaces governing this lype of work will be complied with whether s, �cified herein or not. The granting o( a permit does nol presume <br />to give aulhority lo violale or cancel the provision of any other stale or local law regulatinc� consWclion or the performance ot <br />conslruction. That I am authorized by the owner o( this property to per(orm the work for which applicalion is made and i comply wilh the <br />Slale Contractors Law 18.27 RCW and �296.2�09 WAC. <br />. ��/�� /�Y G,u—n7 <br />