Laserfiche WebLink
P'�RMIT APPLICATI(..nl <br />CITY OF EVERETT PERMIT bERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-257-8857 - www.everettwa.org g—�'J �b � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS PARCEL TAX I.D. # <br />���o Vii2C,-rNl�. /���1 Uo��38ti3�, ro23oo <br />LEGA l0T NO. BLOCK TRACT ��C ,i i <br />DESC. 2�:y �-2.�( 3(�� �`OO DI✓ <br />_ ____ r�rvnm <br /><;E';7 (<G rc <br />TENANT NAME <br />- 3c�����y i'���� <br />C���Nc=a'�''. c�CC,l.na�lc 1_� <br />CONTRACTOR �,�L ` �` c <br />�1. <br />CONTR. LICENSE il <br />USE OF BUILDING <br />(=71 I�a: y � l �_�b�0 <br />WORK DESCRIPTION ��.,,., � �,, ` <br />PERMtj�l, � <br />J� �G�%-� <br />r <br />ic,4-. 1�.'�) V�v<,;:-�/h Evr �.JA lc'-,�l <br />CONTACT FOR PERMIT PHONE <br />I CrL-U (<O I f_ M'1 y✓Z l��G <br />ADORESS <br />� HEATSOURCE <br />I✓ Eleclric _ Gas _ Olher <br />Fi7:r,c :�0)rc_: <br />PLU�I8ING <br />NO. I NPE OF FI%TURE OR IT[M <br />Tailel <br />6athlub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clolhr.s v✓ashcr <br />Laundry lray <br />Sink (servicelbadmop/elc.) <br />Backllow prevenler <br />Urinal <br />Drinkinc� Founlain <br />Floor dr��n <br />Grease trap <br />Roo( drains <br />Olher <br />NO. <br />S� <br />��12�� �3�-O;ZS�_ <br />CITY2IP PHONE <br />I CONTRACT PRICE OF WORI( <br />ll <br />TYPE Of FIXTURE OR ITEM <br />AIC — air handling unils <br />Forced air systems <br />Gas pipinc� <br />Water heater <br />Gas fireplace <br />Gas renge <br />�:lalhes dryer <br />Ranc�e hood <br />L=xhaustfan <br />Heatpump <br />Unil healer <br />Boiler <br />Fetrigeralion <br />VJondsiove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify lhat I have read and examined this a��plicalion and know the same b be true and conect. All provisions of laws am1 <br />ordinaces c�oveming this rype of work will be romplied �yilh whether specified herein or not. The granling o( a permit does not presume <br />to c�ive aulhority lo violale or cancel tho pr^vision of any olher slale or local law regulating consWction or the performance of <br />conslruction. That I am aulhorized by lhe owner of this property lo perform Uie work tor whlch application is made and I camply �ith .he <br />Stato Conlractors L�w 18.27 RCW and 296.2�0 WAC. <br />�, �. <br />� iJi�`/ .-- � <br />