Laserfiche WebLink
A <br />P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 93201 <br />425-257-8810 — FFJC 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />SITE ADDRESS <br />'� . 5�'� �( � <br />LEGAL LOT NO. BLOCK <br />DESC. <br />OWNER <br />��',cC�C''. \-� n <br />TENANTNAME <br />7,� . �� <br />' ' 1 <br />CONTRACTOR <br />COnTR. L.:.ENSE # ��L`C •; ��S�CF <br />USE OF BUILDING <br />�=1Z . <br />WORK DESCRIPTION <br />1'�L.'. � C l .-1 <br />PARCEL TAX I.D. # <br />�� �"C151 - o`f <br />TRACT <br />ADDRESS <br />GITYI <br />1�,�3 ���cw <br />FOR P,ER/MIT <br />'1 �J1 �... . / <br />CITY2IP <br />\ . � �:� 1 . <br />HEAT SOURCE <br />Electric _ Gas _ Other <br />zr��{ SF� . J�c <br />NO. I TYPE OF FIXTURE OR ITEM <br />�:.�ilet <br />Balhtub <br />Lava:ory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Y✓atZ7 heater <br />Sink (service;bar/mop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roof drains <br />Other <br />� jI�` <br />PERMIT # <br />- �Z <br />..._.__ vt ,- 1ss -�� <br />- ► � S-f r��,.�� �-.�� <br />PHONE �✓C � � <br />l/7 i 74C _ .�1Ci�l : + <br />PHONE <br />CONTRACT PRICE OF WORK <br />N0. I TYPE OP FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Cblhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE �S 3105 <br />I hereby ceriti(y thal I have read and examined this application and know the same to be true and corcect. All provisions of laws and <br />ordinaces governing this type of work will be complied with wfiether specified herein or not. The granling of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating constructlon or the performance of <br />conslructiori. Thatl'@m authorized by the owner of thi �perty lo periorm the work for which application is made and I comply with the <br />State Conlractors La�+ 18.27 RCW and 296.200 W�� , <br />_ ��/7_L/� � <br />