Laserfiche WebLink
� <br />PERMIT APPLICATION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 7-�-r 6-�> <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # �' <br />^ J � ,�o,���,--. ,,�,,�,,; �, L�//,_ G� �,,. <br />,_5- %� Everett DN P Pfa: Of BIk <br />LEGAL LOT NO. BLOCK TRACT �� D'02' W 60 Pt Of Lots <br />DESC. ��� 3� � 17 & 18 8 W F,0 Fl Of S 9 <br />Ft 3 In Of Lot 19 <br />OWNER ADDRESS �� � CITY2IP PHONE <br />ti� .ic <br />TENANT N <br />CONTRACTORS'd,P �,US�, <br />q <br />CONTR. LICENSE # <br />S�i <br />USE OF BUILDING <br />�iEM+E <br />CONTACT FOR PERMIT <br />ADDRESS��GJ�,f ; <br />HFATSOURGE <br />_ Electric _ Gas _ Olher <br />� -as8-3s-?9 <br />PHONE <br />CITY2IP PHONE <br />d��u�y '' ,�lfs - 7S'1 "6i�r3o <br />9$� 33 <br />CON'�RACT PRICE OF WORK <br />3 /� �'o-° <br />WORK UESCRIPTION <br />��.f1C� G✓/.ri'/ic��el:� --- 14/I;, � t �P�-HE'� Br�ZK��— ,r/Eu.v CAdi�'�iS ��A..dT K� +E-�.,, <br />IiL�� <br />��d:ll�[e3 <br />TYPE OF FIXTURE OR ITEM <br />Toilel <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (service/bar/mop/etc.) <br />Back(Iow preventer <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />� <br />T <br />� <br />X <br />� <br />TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />F�rced air systems <br />Gas piping <br />Waler healer <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhacst fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />CITY OP EVERETT LOCAL SALES T�4X CODE IS 3705 <br />I hereby cerilify that I have read and examined lhis application and know the same to be lrue and correct. All provisions of laws and <br />ordinaces c�overning this lype ot work will be complied with whether specified herein or nol The granting of a permil does not presume <br />to give authority lo violate or cancel lhe provision ot any other slale or local law regulaling consWclion or the peAormance oi <br />construclion. That I am aulhorized by the o��ner o( lhis property lo per(orm lhe work for which application is made and I comply wilh the <br />Slate Contractors Law 19.27 RCW and 296.200 WAC. <br />�/Z- <br />