Laserfiche WebLink
SITE ADDRESS <br />a2 �� � /�C ��� <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />C Pt-(' i � / <br />P�RMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - v�nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION # <br />7 -a6�o; <br />PERMIT # <br />y1 <br />TENANT NAME CONTACT FOR PERMIT PHOHE y?� .�3 v��6 � <br />C�IT7�"C� ,�?C� , j /ZMJ� E•MAIL <br />Ti2 R ADDRESS CITY/ZIP PH <br />�s�jG%S/�.l%.SL'n✓LEsI �(jl.13�/7-I.EVc7:.�-�wy�ikllGLC.2!-�x�GL��1�P/'L �fIS.33�..Sibr <br />CONTR. LICENSE # <br />/3.iI7/S*`I7�^%1 _ <br />USE OF P'JILDING <br />�r�, L <br />HEATSOURCE <br />_ E!eclric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />r�� 4�- <br />WORK DESCRIPTION <br />1 A�> i�2tC on/� n!/��Z77W.�Ji}-(. > � G,,,/ -Nc.c/- !�t vai/.-✓�> <br />1 i v� �C o,,Vc > : 4, v - �t/v�✓- /L � L � �t� /�t/i�'J2�77 <br />NO. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />Toilcl <br />Bathtub <br />Lavalory (�vash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Watar heater <br />Sink (service/badmopletc.) <br />Backi�mv prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />A�C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gas range <br />Cbthes dryer <br />Range hood <br />Exhaust f2n <br />Heal pumN <br />Unit heata <br />Doiler <br />Re(rigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby cerilily that I have read and examined this applicalion and know the same lo be Irue and correcL All provisions o( laws and <br />ordinaces governing this rype of work �vill be complied wilh �vhether specified herein or noL The granting of a permit does not presume <br />to give aulhority to violate or cancel the provision ol any olher stale or bcal law regulatinc� constructien or Ihe per(ormance o' <br />construction. That I am authorized by the owner of ihis pmperty to perform the work (or �vhich application is made and I canply wilh lhe <br />Stale Conlractors Law 1 j� W and 296.200 VVAC. <br />� /- � �/2 � /�� � <br />' �/� <br />� ---- - --- ------- <br />