Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 —FAX 425-257-8857 — www.evereVOAlpRrg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />Rork-v-Auc <br />PARCEL TAX I.D. IY <br />MIT 0� <br />- � <br />23i <br />r,�s�,22a2"Zoo3�n <br />� <br />LEGAL LOT NO. <br />DESC. <br />BLOCK <br />TRACT <br />OWNER ADDRESS CITYIZIP PHONE <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />_Z� /��,oc o PI,,�III�<, a;�1 L I�C t, �6� Uzy-132S-- <br />CONTRACTOR ADDRESS CITY/ZIP PHONE <br />s ;)�/joe Nwyii-t -<�)'ftt '3�.v-q24-1325' <br />CONTR. LICENSE 041��-y ✓AV3��� I1IL L'.tT(%(juoL\ Iq8273 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />Gc"5 "4 -�'OvA <br />Gas Other <br />c� <br />_Electric <br />, <br />WORK DESCRIPTION <br />Re f4c�'L1 <br />PLUMBING MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br />_ <br />ToiOt <br />A/C - air hanGGhg units <br />_ <br />-athtub <br />Forced air systems <br />_ <br />i avalory (wash basin) <br />Gas piping <br />Shower <br />t aler heater <br />_ <br />_ <br />hitchen sink C disposal <br />Gas fireplace <br />_ <br />aishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />i aurJry tray <br />oange hood <br />_ <br />Sink (service/barlmop/etc.) <br />Exhaust fan <br />_ <br />-ackflow preventer <br />Qeat pump <br />r rival <br />r nit heater <br />_ <br />_ <br />annking Fountain <br />-oiler <br />_ <br />Floor drain <br />oefrigeration <br />_ <br />Grease trap <br />t oodstove <br />_ <br />000f drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be coml•lied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provisior of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors i aw 18.2T Ct e-+ 296.200 t AC. <br />Signure of Owner/�Co f ractorlAuthrnzed Agent sate <br />