Laserfiche WebLink
( <br />RERMIT APPLICATION <br />CITY OF EVERETT PERi�lT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wrrvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />y6�� �F ��A�e sE <br />LOT NU. I BLOCK <br />�/1Ph//N�ncc /�"/CriJ�f OT L=hip�. <br />TENANTNAME <br />l/er.•Zy, l,(�••r•les7' <br />,,, <br />CONTR. LICENSE # <br />w� <br />USE OF BUILDING <br />N/J� <br />PARCEL TAX I.D. A <br />.2BOs/8"do�/oo900 <br />TRACT OR SUBDIVISION # <br />ADDRESS r,IT <br />�,s-�,,, co.�r„�.,ir��2�d�� <br />[v.,,d� <br />CONTACT FOR PERMIT <br />LC j (ruo(�% <br />ADDRESS ,f� —�F <br />��/�u �J S7� 5(,(/ �V <br />S� � <br />HEAT SOURCEN/� <br />_ Elec�ric _ Gas _ Other <br />� <br />y�/D—D5 <br />RMIT # <br />v�c'-� oio <br />��roNtS%� t'S3o 29`+S' <br />c•MAIL �C$�/�15s+�s'L1�/� Ca�. <br />PF�U�—„ 1292 <br />i '�1�.2�,� �.21 �3� <br />CONTRACT PRICE OF WORK <br />/5' o��. �� <br />WORKDESCRIP710N R�p�A�� S/ u..f�,�,.af/Gd� 4ti�w 4�.tf�n„ar �„ CX.'s�J�) <br />OPF�our✓ monsP��c, y..s�`v/l G..rolar]'� �.. t�.•L.. Ea%i' �f�io�.b��� <br />�j', y � i� S'fo ��� ��/ �4� "^'e G JM�Mi`s/r .. <br />NO. I TYPE OF FI%TURE OR ITEM <br />Toilet <br />BathWb <br />Laoatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Wa�er heater <br />Sink (service/barlmop/etc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />G�ease trap <br />Rool drains <br />Other <br />NO. I T'/PE OF FIXTURE OR ITE6! <br />A/C — air handling unils <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas li:eplace <br />Gas ranc�e <br />Clothes dryer <br />Ranc�e hood <br />Exhauslfan <br />Heat pump <br />Unit healer <br />Boile� <br />Refrigeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify thal I have read and examined ihis application and know the same to be true and correct. All provisions of laws and <br />ord!naces yoverning Ihis lype of work will be complied witli whether specified herein or not. The granting of a permit does not presume <br />to give authoriry to violate or cancel Ihe provision of any other stale or local law regulating construction or the performance of <br />construction. � I am autho�ed by the owner of ihis property to perform the work for which application is made and I comply with the <br />State Con�tor�L� 18.��;�cw �,q zss.zoo wnc. <br />� 9 05 � <br />ale <br />�� <br />