Laserfiche WebLink
I <br />PERMIT APPLICATION <br />CITY OF EV�RETT 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 />I � Z z7 �-1, <br />LEGAL LOT NO. BLOCK <br />DESC. <br />TENANTNAME <br />PARCEL TAX I.D. # <br />O�� 23c7�t�p� �uo <br />TRACT OR SUBDIVISION C <br />►"h � ckels�'h I ��3L Z 7-��Tr <br />CONjTA�CT FOR PEF <br />�J�Ti ��V �S <br />m mH�. i urt nu..�c�o <br />( � <br />(�,.,:5 C�-�.st<���,�,,i.,� 1 �., n��� ,�yh A.�e <br />7NTR. LICENSE il <br />USE OF BUILDING <br />S <br />HEATSOURCE <br />�Eleciric _Gas_Olher <br />PERMIT # <br />_ lo►a-�o5 <br />INIZIP PHONE <br />e,e� 1�6�� yZS-`I�8-J�1 <br />PHONE `+ZS'-.�i�I- /SS� <br />E-MAIL ag� , s����� � �};� _; � <br />ITYIZIP PHONE �y �,�mQ��I. <br />,vt'f�l� L <br />,�Z_oy Izs-S�i-�ss� <br />CONTRACT PRICE OF WORK <br />oS,��� <br />WORK DESCRIPcTION 1 <br />�e�.r l'�,�t� dS�jr S�e-��'�'>�� 'ic�,55i,5 (�,�;,���pofirJ <br />�i NO. I TYPE OF FIxTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kiichen sirk 8 disposal <br />Dishwasher <br />Clothes was9er <br />Water heater <br />Sink (serncelbadrnop/etc.) <br />BackOow preventer <br />Unnal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />NO. <br />TYPE OF FIXTURE OR ITE�.1 <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />. I hereby certi(y that I have read and examined this application and know the same to be true and correct. All Frovisions of laws and <br />' ordinances goveming this type of work will be complied with whether specfied herein or not. The granting of a pen-.d does not presume <br />� ro give authoriry to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />� construction. That I am authorized by the owner of this propeny to perform lhe work for which application is made and I comply with the <br />', State Con�actor�l.�lv 1827 RCW and 296200 WAC <br />