Laserfiche WebLink
SITE ADDRESS <br />L � �i� Pir� <br />LEGAL LOT NO. <br />IT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICE� <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 />PARCEL TAX I.D. # <br />BLOCK I TRACT OR SUBDIVISION # <br />PERMIT # <br />I�D L� / ?,-t� I 2 <br />S1bRw�r zyo� 5�^� S1-�e�.-� Sw C eae� `�bz �� ( y�s) yo�-��8�� <br />TENANT NAME � CONTACT FOR PERMIT PHONE � <br />' E-MAIL <br />C NTRACTOR A�DRESS CITlIZIP PHONE <br />Wc,\Ce 1'\�u�,4��r,c�, \r�c.. 1�321 �T�j� St Se,�(i Mcmrzoe , q4'�2�Z <br />CONTR. LICENSE # <br />wo��-�P zu33c, � ( 3�a�7 �,��-4'�t�zi <br />USE OF BUILDING � HEAT SOURCE � CONTRACT PRICE OF WORK <br />WORK DESCRIPTION <br />NO. � 1YPE OF FIXTURE OR ITGM <br />2 Toilet <br />l 3athtub <br />�_ Lavatory (wash basin) <br />Shower <br />1 �i Kitchen si�k & disposa! <br />\ � Dishwasher <br />�= Clolhes washer <br />Water heater <br />L_'� Sink (service/badmop/elc.) <br />BackFlow prevenler <br />Urinal <br />Drinkinc� Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Olher <br />_ Electric _ Gas _ Other I��� c��iS CU <br />NO. � TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air sysizms <br />Gas piping <br />W ater heater <br />Gas (ireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other _ _ <br />CITY OF EVERETT LOCAL SALES TAX :.ODE IS 3105 <br />I hereby ceritify that I have read and examined tliis applicalion and kr�ow the :;ame to be true and correct. A�I provisions of laws and <br />ordinaces governing this rype of work wili be complied wilh whelher specified herein or not. The granting of a permil does not presume <br />lo give aulhority to violale or cancel ihe provision of any other state or local law regulaling construction or lhe performance of <br />construction. That I am aulhorized by ihe owner of �his property to perform the work for which applicalion is made and I comply with the <br />State Conlradors Law ? N.27 RCW and 296.200 WAC. <br />1-�"d-�t�1 'I)� '�YIC���.��r�c.�Lc �e-`,i-(l1 <br />