Laserfiche WebLink
F�RMIT APPLICATIt�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETr, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />,�'� /5 <br />LEGAL LOT NO. ,' <br />oEso. sr .5 <br />OWNER <br />J Y C <br />TENANTN M� <br />✓ {/� <br />� � �Al�"i U�' <br />�o�K <br />PARCEL TAX I.D. # <br />TRACT <br />ADDRESS <br />ONTAC <br />% �%cJ <br />CONTRACTOR �N��.��G AODRESS <br />CONTR. LICENSE p � �J j'j"Lj-('iC � / �� �l[-' <br />USE OF BUILDING <br />WORK DESCRIPTIpN ' �// <br />�i�/' L�; / l, <br />PLUMBING <br />NO. I TYPE OF FIICTURE OR ITEM <br />Toilet <br />�alhtub <br />Lavalory (�vash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhes washcr <br />Laundry tray <br />Sink (serviceNar/mop/elc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roo( drains <br />Olher <br />T PERMIT ' <br />. i!�/-e,/S <br />" <br />HEATSOURCE <br />_ Eleclric _ Gas _ Olher <br />NO. <br /># <br />I�:NI.`Lq <br />/ <br />CIN21P PHONE <br />_ %' r ' <br />! . " ' <br />� <br />CONTRACT PRICE OF WORY. <br />,���� �1�57 <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas pipin9 <br />Water healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Ranc�e hood <br />Exhausttan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby ce�tify that I have re d and examined this application and know the same to be true and correcL All provisions o( laws and <br />ordinaces gover ing this typ of work will bo complied wilh whether specified herein or not. The granlin� of a permil does nol presume <br />to give authonl lo v�6late o cance� the provision of any other slale or local law regulating construction or the performance of <br />construction. am ayJliorized by the owner o( this property to pedonn the worY, lor which application is made and I comply wilh the <br />Stale Conlra .t �aw 1t,''7 RCW and 296200 WAC. <br />� / � �'�S <br />Date <br />��L <br />