Laserfiche WebLink
�tRMIT APPLICATIUN <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 />SITE ADDRESS <br />�c/�Gs�xJ.tl <br />EGA LOTNO. BLOCK <br />DESC. <br />OWNER <br />i/�G['�i d%��'i�21�C� <br />TENANTNAME r <br />R <br />C�W�^ef <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />/ilFw <br />��� � �> �-'� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Laval�ry (wash basin) <br />Showcr <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Wa�cr healer <br />Sink (servicelbar/mop/etc.) <br />Dackllow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Olher <br />PARCEL TA7( I.D. N <br />PERMIT A <br />�n <br />TRACT OR SUBDIVISION N <br />..�7'W/Y I <br />CONTACTFORPERMIT <br />PHONE <br />wuunws / ciniur rn�n� <br />�/•3:1 r,r/Gz.�L�,,�nAl�e L`(/+'✓e�q��o3 <br />HEAT SOURCE CONTRACT PRICE OF WORK <br />Eleclric Gas Olher �7-1 i �r <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FVC - air handling units <br />Furced air systems <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Rangehood <br />Exhauslfan <br />Heal pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify Ihat I have read and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces governing this rype of work will be complied with whether specified herein or noL The granting of a permil does not presume <br />to giv� authoriry lo violate or cancel the provision of any other state or local law regulating construction or the peAormance ot <br />conslruGioa Thal I am authorized by the owner of this property to pedorm the work for which applicalion is made and I comply with the <br />Slatc Cd�lractors Law 18.27 RCyV and 2�J�.200 WAC. <br />% <br />c<-�9 - iv <br />'I z <br />