Laserfiche WebLink
PEr2MIT APPLICATIOn! <br />CITY OF EVERETT PERMIT SERVlCES <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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />� <br />LEGAL� LOT NO. <br />DESC. � [} <br />BLOCK <br />PARCEL TAX I.D. # <br />Io�7�, I(0000 <br />TRACT <br />Tw�M �p� <br />� <br />j — <br />__..__ ,,.. .,_.. . ,..,. _ <br />4Zj <br />�r��rre.L 1����5 lC�tl� 3�P 1�r S.E . Cv�.tTt' quLcY ���fl- Gosy <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />-- Ci-tuc� 17�(�Qn�=r-ENcz�i� 3ov-435-55�(b' <br />CONTRACTOR AODRE55 � CITY/ZIP PHONE <br />2er+A�sy�Mc� B����e�zS �N� 2�a��a zza n��c t�t. aKL,��-rt�� �lbzz3 3co �}35-55YY <br />CONTR. LICENSE # I� <br />� c, [^� (�l <br />USE OF BUILDING <br />SF� <br />HEATSOURCE <br />� Electric _ Gas _ Olher <br />CONTRACT PRICE OF WORK <br />9-�onn.v <br />WORK DESCRIPTION . _ <br />lj CZo��� sl7)�� A'i�D �`T � o�+ Tu �ct�S'i i^-�C� Dw�L(.,i'cCl <br />F�o �Z. � Oti D 1'��"D Zu o w� P•+� a�t-t-t- <br />/1Tt'l� S�z�e-nc1�:" h�i fk ��TN- i>u��do�u sria«o <br />PLUMBING <br />NO. I NPE OF FIXTURE OR 17EM <br />_� Toilet <br />�_ Bathtub <br />� Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/barimop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. � 1YPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Ctothes dryer <br />Rangehood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refngeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceritiry that I have read and esamined this application and know the same to be Irue and correct. ,411 provisions of laws and <br />ordinaces governing this type of �vork wiil be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authonry to violate or cancel the provision of any olter state or local law regulating consWction or the performance of <br />construction. That I am authorized by the owner of ,his pJ� perty to perform the tvgrk for �vhich application is made and I comply with Ihr. <br />State Con[ractor�w 18,�7/RCW_ arYd 296?OO1N�C.// � / <br />3 �� �JS �, , �: <br />� <br />