Laserfiche WebLink
SITE ADDRESS + <br />21�3 ZIS <br />l 3GAL LOT NO. <br />DESC. <br />f <br />P��RMIT APPLICATIOIV <br />CITY OF EVERETT PcRMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />C�� <br />lon� .�oeh� <br />TENANTNAME <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />13LOCK <br />CONTRACTOR r <br />��f�F_,�`U.JOOG+ Er��'cJ J <br />CONTR. LICENSE #��� G� ES C^i <br />USE OF BUILDING <br />WORK DESCRIPTION <br />PARCEL TAX I.D. # <br />TRACT <br />3�o�i C bl <br />CONTACT FOR PE <br />ADDRESS <br />� N�CpS ?. n. � a1C, 3 <br />3�1 <br />�`� �'p'�� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilel <br />BalhWb <br />Lavelory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clolhes washer <br />^ Laundry tray <br />Sink (service/bar/mop/etc.) <br />BackOow prevenler <br />Urinal <br />Drinking Fountain <br />Hoor drain <br />Grease trap <br />Roo( drains <br />Other <br />HEAT SOURCE <br />��6�� <br />MI7# _ .. <br />�.i <br />PHONE <br />CITY2IP PHONE <br />L�^�,�,d R�so�l� yzs ��z �89� <br />Electric Gas Olher <br />CONTRACT PRICE OF WOKK <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gasrange <br />Clothes dryer <br />Range hood <br />Exhauslfan <br />Heal pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher _ <br />CITY OF EVERETT LOCAL SALES TAX CODE fS 3105 <br />I hereby cerili(y lhal I have read and examined lhis application and know the same lo be true and correct. All provisions of laws and <br />ordinaces goveming this type of work will be complied with wbPther specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision o( any other state or lor,al law regulating conslruction or the performance of <br />construclion. That I am aulhorized by lhe owner of this property to perform the work for which application is made and I comply with the <br />Stale �Nractors Law�18,27 RCW and 296.200 WAC. � , <br />