Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT S�'RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — vwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRES <br />��� l,� �� � <br />LEGA LOT NO. BLOCK <br />DESC. , ^-� <br />TENANT NAME <br />PARCEL TAX I.D. # <br />� 74-ZmT� o n o <br />TRACT OR SUBDIVISION # <br />��3U b / sr��, SLJ <br />CONTACT FOR PERMIT <br />JL� ,pc.�N � <br />-CONTRACTOR P <br />—�-p. yo��+ �s�-,.�.�,z,��. <br />CONTR. UCENSE M� �� 1'��� $ 3G � <br />V <br />USE OF BUILDING <br />� �� <br />WORKDESCRIPTION �JNS <br />N0. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Ba�h�ub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water healer <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease irap <br />Roof drains <br />Other <br />00 <br />E1,lcrc� q�2a3 <br />PHONE (�S �7�'C� <br />c�aa ..�� „��� � �.,,.... i j� �d — <br />�6581 l�S�.SE IMuwo� R8�7L � n67Z <br />HEATSOURCE <br />Blectric _ Gas _ Other <br />N�� �ck <br />NO. I <br />CONTRACT PRICE OF WORK <br />�i�%S• C1'D <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unil heater <br />8oi�er <br />Re(rigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this applicalion and know the saine to be true and correct. All provisions of laws and <br />ordinances governing this type of work will be complied with whether specifed herein or not. The granting of a permit does not presume <br />to give authorily to violate or cancel lhe provision of any other state or Iocai law regulating construction or the performance oi <br />consiruction. That I am authorized by the owner of this property to perform the work for which application is made and I comply wilh the <br />State Contractors /L�w-la•27 RqC�W and 296.200 WAC. <br />( /.2G� � 1 �` � 1�8� � fi <br />�/2 <br />