Laserfiche WebLink
� �L3 („ie <br />LEGA LOT N0. <br />DESC. <br />OWNER <br />1_]G.✓. CC <br />TENANTNAME <br />P�RMIT APPLICATIO�V <br />CITY OF EVEREIT 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 />re, � � <br />BLOCK <br />(-� � � l e i -f"�. �� <br />PAf2CEL TAl( I.D. # <br />TRACT OR SUBDIVISION p <br />�o�U3 t,JC��-tc�rc A✓�= <br />CONTACTFORPERMIi PHONE <br />FERMIT q <br />1 E-MAIL <br />R � <br />�AC�(-�iZZ No.�ne � .�,.n.- . `C n� � .� -�/% Cot � S �Z �, ��C <br />CONTR. LICENSE # O{ �( (. � c.� � <br />�ALA'l`�j 1�+OLI' I� �i'C✓CN� LJ.� SJL�'J C� Z�iS CJ,�G�/ <br />USE OF BUILDING <br />�1r� 1 � ��� I< <� l <br />HEATSOURCE <br />� Eleclric _ Gas _ Othe,r <br />WORK DESCRIPTION / <br />1-NS��.�1 Wc(� .Mu_...�/•�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Barhtub <br />�avalory (wash basin) <br />Shower <br />_ Kitchen sink 8 disposal <br />Dishwasher <br />Clothes �vasher <br />Waler healer <br />Sink (servicc/barhnop/c�c.) <br />Backflow preveNer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />CONTRACT PRICE OF WORK <br />�J <br />S ; uc�u . <br />3 v � 1. 1—� c� � /�,.., y� <br />NO. I TYPE OF FIXTURE OR ITEM <br />FJC - air har <br />Forced air � <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Rangehood <br />Exhaust(an <br />Heat pump <br />Unit healer <br />Boiler <br />Retrigeration <br />Woodslove <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />ng units <br />ems <br />I hereby r.eritify thal I have read and ezamined this application and know the same to be iru� and correcL All provisions cf laws and <br />ordinaces c�overninc� this rype of work will be complied with whelher specilied herein or not. The granting of a permil does nol presume <br />tu c�ive authorit} lo violale or cancel the provi� •n of any other state or local law regulating construclion or lhe performance of <br />construclion. That am aulhorized by Ihe wner of this property to pedorm the work for which application is made and I comply with the <br />State Contrector�aw 1827 RCW and 9G.200 WAC. <br />9 <br />� � L/�, -( .� C�G��-� \l c`j10� <br />l <br />