Laserfiche WebLink
P�r2MIT APPLICATIG�J <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 />SITE ADDRESS <br />1 1 "' oc � F � � c..e � <br />LEGA LOT NO. BLOCK <br />DESC. <br />OWNER <br />\ o l-Cl �.G�i..% � � <br />TENANT NAME <br />TAel� �l"KNGR 1�en+NeJY S 3�KNt"K <br />�dNfRA Ot�ci��cK c�V�riv,<roa <br />PARCEL TAX I.D. # <br />TRACT OR SUBDIVISION M <br />ADDRESS <br />n� <br />�ONTACT FOR PERMIT <br />Co�71 �/ /��e�Ar� Ve12 <br />PERMIT p <br />'(� � �- O I 1 <br />PHONE 2.53 �/OS ' 7F17 � <br />CONTR.LICENSE# 1�=LC1�1CL�v�'ry'� <br />N � c�K z s� q K L K kC�4N 1� W/� zs3 vos - �Bps_ <br />USE OF BUILDING � HEAT SOURCE I CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />A� 1=�.,�1 <br />Eleclric Gas Other <br />C- £Xicni�yo/�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Tailet <br />�athtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />�CU , UG <br />NO. � TYPE OF FIXTURE OR ITEM <br />Al;; — air handling imits <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ranne <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby certity thal I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinances governiny this type o' work will be complied with whelher specified herein or not. The grantir.g of a permit does not presume <br />to give authoriry to violate or ca:�cel the provision of any other state or local law rec�ulating consiruction or the performance of <br />construclion. That I am authorized by Ihe owner of this property lo perform lhe work tor which application is made and I comply with the <br />Stale Co tfactors Law 18.27j2CW and 29�.200 WAC. <br />�� , �'� i,_�:` �- �-�6 <br />