Laserfiche WebLink
r'�- <br />SITE ADDkESS <br />��i "� J <br />(.� . � <br />LEGAL LOT NO. <br />DESC. <br />OWNER <br />;` ; <br />TENANTNAME <br />PcRMIT APPLIC�►TIG�1 <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 />^'.- {) t n�. C- -'... i 7 <br />BI.00K <br />�.` ; � �I _ �, <br />PARCELTAXI.D # <br />TRACT OR SUBDIVISION k <br />� 2��'Z f�.. <br />CONTACT FOR PERMIT <br />'c .a �; c t <br />PHONE <br />/d --�-z`D� <br />PERMIT # <br />CC <br />� 3 L as <br />m mn�. wn ..........__ '_ _ '.— _ <br />� � �1;�: . � �l�ti„�� r� U.:- <:,-C.f 1K SI�u:...� �/L� Zr�S <br />' I �= F. t. _� � - <br />SNTR. LTCENSE p '!; �'. ^� ;� > �- c. —c. G`_`�Gt�7 <br />l�nc��a��n���� �� ��z,.; <br />USE OF BUILDING I HEAT SOURCE <br />. . n .,��, f � C � r , <br />. � , � � � , ; r j j : , � _ Eleclric _ Gas _ Olher <br />�YORK DESCRIPTION - � <br />� �... . _ , .' _ . �^/....f�J... ,/ `�� � .. �. <br />.r � -� 'r '"�'7� � <br />....( '� . .�r ?I,, c!�.r .�./ �J,w!( <br />NO. I TYP[ OF FI%TUR[ OR IT[M <br />TOilel <br />E3alhlub <br />Lavalory (��ash basin) <br />Shower <br />Kilclien sink & disposal <br />Dishwasher <br />_ Clolhes washer <br />_ Walcn c�aler <br />Sink (service/bar/mop/otc.) <br />Dackflow prevenler <br />Urinal <br />Drinking Pounlain <br />Floor drain � <br />Grease trap <br />Roo( drains <br />Olher <br />CONTRACT PRICE OF WORK <br />�Zv, vcx� <br />,._� i J�-� C w <br />� <br />MkGMANII:AL <br />NO. I TYPE OF FIXTURE OR ITF.M <br />FUC — air handling unils <br />Forced air syslems <br />Gas piping / <br />Waterheatcr � <br />Gas tireplace j � <br />Gas range ; 5 <br />Clolhes dryer �,� � V <br />Range hood � �' � � <br />Exhausl(an � <br />Heal pump <br />Unit heater <br />Boiler <br />� <br />CITY OF EVERETT LOCAL SALES TlilC C OE IS 3105 <br />�� � <br />n�( <br />I hereby ceritily thal I have road and examineA ihis applicalion and know the same lo be lme and correct. All provisions o( laws and <br />ordinaces governinc� lhis type of work will be complied �vilh whether speci(ied herein or nol The granting o( a permit does not presume <br />to give aulhority lo viol�ile or cancel the provision ol any other slate or local la�v reguleting consiruction or the peAormance of <br />construction. Thal I am 2uthorized by the o�vner o( this property lo pedonn lhe work for which appliwtion is made and I comply wilh the <br />Sla�e Cunlraclo�s Law 18.27 RCIV and 2;u.200 WAC. <br />� 1;' ,�a j�J= <br />�._.—�� � <br />Signalure of Owner/ContraTlccAulhprize� Agent y�Dale' <br />� 1/ <br />Z <br />