Laserfiche WebLink
SITE ADDRESS <br />/ y�Y (i, <br />LEGAL LOT NO. <br />DESC. <br />J U S �/% <br />�tRMIT APPLICATIUN <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 />�� <br />BLOCK <br />PARCEL TAX I.D. N <br />3 ��. � 2 n vaSv� <br />TRACT OR SUBDIVISION p <br />/�/�i <br />� <br />l9('I' y; - -:,� <br />IT #� <br />D��C�/� <br />S S y�' <br />TENANT NAME CONTAC�T FOR PERMIT PHONE (�� S- � 3 Fi'���p � <br />GCA3—✓�'C' /✓ � 1.V't1� E-MhIL <br />ONTR GT f,h�� ��o^/ ADDRE S I / P F� <br />,peL,�cr� r�H.= 6 Fr,23 S9 ,O� -UE �c�ryS��U �i,��7r� .�60 6 Sk i 7Sd <br />CONTR. LICENSE fl � f fJ �/� � 1 � Q (j F J <br />USE OF BUILUING <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Electric Gas Other <br />WORK DESCRIPTION <br />� � � �R.,��, � 6 �y �.�� l�, �-�y � ,� <br />�_� ,, <br />c' <br />PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />E3athlub <br />Lavalory (�vasli basin) <br />Sho�ver <br />Kitchen sink & disposal <br />Dishwashcr <br />Clothes washer <br />Walcr heatcr <br />Sink (servicclbarlmopletc.) <br />Back(lo�v preven�er <br />Urinal <br />Drinking Founlain <br />floor drain <br />Greasc lrap <br />Roof drains <br />Other <br />NO. <br />TYPE OF FI%TURE OR ITEM <br />FVC — air handling units <br />Forced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust(an <br />Healpump <br />Unit healer <br />Boiler <br />Refngeralion <br />Woodstove <br />Other <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby ceritily thal I have read and examined lhis application and know the same to be Irue and correcL All provisions o( laws and <br />mdinaces c�overnin9 lhis rype of worn �sill be complied �si�h whether speci(ied herein or nol The grantinc� of a permit does not presume <br />lo give autherity lo violate or cancel lhe provision ol any other slate or local law regulating consWction or ihe performance ot <br />cunslruction. That I ai�i auUiorized by the or+ner ot this property lo perform lhe work tor which application is made and I comply with the <br />Slate Conlractars Law 18.27 RCW and 296.200 WAC. <br />J Ac�enl UBIe <br />��z <br />