Laserfiche WebLink
�— <br />SITE AD� S <br />� <br />LEGAL LOT NO. <br />�ESC. � <br />S � . iLr,r�? � i <br />TENANTNAME <br />P�.RMIT APPLICATIGN <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 <br />rj�"�/�� S� <br />BLOCK <br />}c. r j"L��.wO��r <br />CONTR. LICENSE #�.��'D/y �je 2'� Z G L <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�P] <br />LUMBING <br />TYPE OF fIXTURE OR ITEh1 <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dishwzsher <br />Cluthes washer <br />Waler healer <br />Sink (servicelbadmop/etr,.) <br />8ackllow preventer <br />Urinal <br />Drinkin9 Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other _ <br />PARCEL TAX I.D. # <br />TRAC'f OR SUBDIVISION # <br />...,..�."... �r: /j�Y �C, <br />4"? l7 <br />CONTACT FOR PERMIT <br />runnoa r^ <br />�y , 37�,�ZSE. <br />HEATSOURCE <br />_ Eleclric _ Gas _ Other <br />� C� j O/- CJ(O <br />PHONE <br />2_ �5-0� <br />2MIT # <br />�ln 2_-0� � <br />f?r.'(��/ �i ,� SZ/ <br />U�� <br />n/l i �C'� <br />�l � �o �/' <br />CONTRACT PRICE OF �YORK <br />G � Q�Z) <br />p� � <br />NO. i TYPE OF FIXTURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas piping <br />Water healer <br />Gas fireplace <br />Gas range <br />Clolhes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Bailer <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerili(y that I have rea� and examined this application and know the same to be true and correcL All provisions of laws and <br />ordinaces goveming this ryF?e of �vorl, will be complied �vith whether specified herein or noL The granling o( a permit does not presume <br />to g!ve authority lo violate o� cancel ihe provision ef anv olher state or local law regulatiny conslruction ur the performance of <br />conslruction. That I am aul nzed by the uwner of lhis property to perform the work for �vhich application is made and I comply with the <br />State Conlrac[or 1av�7���RCW and 296200 WAC. <br />� � � <br />�%•����'` ��9��� ����'J� v <br />