Laserfiche WebLink
a cRMIT A�PLICATI.IN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATtONS ARE ACCEPTED FROS7 o i+in !O 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS ,�� PARCEL TAX I.D. # PERMIT# <br />� 11� lY �� I rnoso�-�31 <br />LOT NO. � BLOCK I TRACT <br />����� « voo <br />TENANTNAM <br />CONTRACTOR (�O u � O <br />CONTR. LICENSE # <br />your o0 <br />USE OF BUILDING <br />� <br />CON/T�ACT FOR PERMIT <br />�✓Q/�/1i/ Vo�C <br />�. CJn /�CADDRESS /a � �/ <br />J v� <br />a�� <br />WORK DESCRIPTION <br />/Vt oie('�r �,✓a� Pi hPa N� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backtlow preventer <br />Urinal <br />Urinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />HEATSOURCE <br />SE <br />Electric Gas Other <br />�( � <br />CITY2IP ,./.� <br />�VP�F I' <br />P�ao� <br />PHONE <br />�-�7 - D�b 7 <br />PHONE L�� / � ���Z <br />J <br />d6o7 <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air handlinc� 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 />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />Olher <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS ?105 <br />I hereby ceritify thal I have read and examined this application and know lhe same to be true and correcl. AII provisions of laws and <br />ordinaces governing this type of work will be complied with whelher specitied herein or not. The granlirig of a permit does not presume <br />to give authority iola or cancel the provi ion o olher state or local law regulaling construcUon or the performance of <br />consWction. ial I am a lh999(((¢ed by the ow er o this roperty to perform lhe work for which application is made and I comply with lhe <br />State Conh cto s Law 18�2� j�CW an 29�00 , AC. � <br />� U l7� {�D � _ � �/_ � <br />