Laserfiche WebLink
SITE <br />�s <br />LEGA� LOT NO. <br />�ESC. 111 i � <br />y� . <br />OWNER �r <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERM�T 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 />BLOCK <br />OUV O.� <br />LONTRACiOR � RSAPj�L /ANC E <br />GONTR. LICENSE p <br />USE OF BUILDING <br />145,'rX..,-�+.J <br />WORK DESCRIPTION <br />��J�AC� <br />+� oiZSJ• <br />PARCEL TAX I.D. H <br />TRACT <br />/(uCKt 2 .�hif <br />CONTACTFOR PERMiT <br />PERMIT N <br />MoG <br />PHONE <br />.2rz • <br />ADDRESS CITVRIP PHOHE <br />837 �/w �lST" ST SE�R� 9�ro7 �'GSa•sa�� <br />HEATSOURCE <br />�Eledds _ Gas _ Olher <br />CONTRACT PRICE OF wuHn <br />E�Ct��fiC t'4r✓�kLL w� � h1w ��[�—fY.'G �GI�7IGC. <br />NO. I iYPE OF FIX7URE OR ITEM <br />Toilet <br />�athlub <br />Lavatory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/badmop/etc.) <br />Backllow prevenler <br />Unnal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Other <br />N0. I TYPE OF FIXTURE OR ITEM <br />NC - air b�ndling imits <br />_L_ Forced oir systems. <br />Gas piping <br />Waler healer <br />Gas lirc�placo <br />Gas range <br />Clothes Aryer <br />Range hood <br />Exhaustfan <br />I leat pump <br />Umt heater <br />Boiler <br />Rclriyeration <br />-- Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby u�ntify that I have read and examined this application and hnow ihe same to bu true and conec�. All provisions ol laws and <br />ordinaces governing Ihis type of work vnll be complied wilh whelher specified herein or not. ThA granling ol a permil does not presume <br />to give aNhonry lo violate or cancel Ihe provision of any other slate or local law regulaling consimdion or lhe peAormanco of <br />conslruclion. Thal I am auihorized by the owner oi this property to podorm Ihe work lor which application is made and I comply with lhe <br />State Contractors Law 18.27 RCW and 296.200 WAC. � <br />