Laserfiche WebLink
{ <br />P�cRMIT APPLICATI(�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDA(i STREET, EVERETT, WA 98201 <br />425-257-8810 — Fl+X 425-257-8857 — vaww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SiTE ADDRESS PARCEL TAX I.D.1l <br />�ii �zucKc.e Av�=.v�r� GG�lS� /a'GooycO <br />LEGAL LOTNO. BLOCK TRACTORSUBDIVISIONM BcK /j�c J-�-'�` I <br />DESC. '•�fqtip✓icL.� �7iJJ Jr L'l�L-Acy7" <br />PERMIT # <br />� -1��2— <br />Lt3.S ti"/UFI..�ur!� <br />NLL L�rS St(< <br />e�Cdic-N_Ti1.,��C- gltscN �// iZu«c�c Aoc' LVc1ecT: �✓N 9Ezo� �vzs)zsa�-96ys <br />TENANT NAME CONTACT FOR PERMIT PHONE. <br />�'�/� E�MAIL <br />N>1 /iJC <br />� ° � <br />g��.�;z7C.efJ �� ,..<.xitcno,�.� cL <br />Cf1NTR I ICENSF p .. n ✓_ _ <br />USE OF BUILDING <br />HEATSOURCE <br />E�eclnc Gas Olher <br />WORK DESCRIPTION <br />Uc�s�oc�7Jc�..� c.t L=KiS/"�.�.o c.--:Y�[�'lcz COr77iC.icl>� <br />NO. I NPE OF FIXTURE OR ITEM <br />Toilet <br />Balhtub <br />Lavalory (wash basin) <br />Showr.r <br />Kilchen sink & dispos, I <br />Dishwasher <br />Clolhes washer <br />Water healer <br />Sink (service/badmopletc.) <br />Back(low preveNer <br />Urinal <br />Urinkinc� Fou��ain <br />Floor drain <br />Grease lrap <br />Rool drains <br />Olher <br />9S3 -/S'�o <br />CONTRACT PRICE OF WORK <br />NO. I NPE OF FI%TURE OR ITEM <br />A/C - air handling units <br />Forced air sys�ems <br />Gas piping <br />Waler heater <br />Gas (ireplace <br />Gas range <br />Clothes Aryer <br />Range hood <br />Exhaustlan <br />Heal pump <br />Unit heater <br />Boiler <br />Relric�eralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify lhal I have read and examined lhis application and know �he same to be lr�e and correcL All provisions of laws and <br />ordin,;ces governing this-lype ot_york will be complied wilh whether specified herein or nol'fhe granting of a permit does not presume <br />lo give au�l�riry to vfolate or ca�e(:I tho provision of any other stato or local law regulating cunstruclion or Ihe performance of <br />conslruetion That I am aul�zed by the owner o( lhis property 10 peAorm the work for which applic2lion is made and I comply wilh the <br />Stale�Contr ctors Law 18 7 R nd 296200 WAC. <br />, t�-c-F-�--� - y,�3e a 9 <br />Si �eh3re o Owne ContraclodAuth �<ed Agent Date <br />