Laserfiche WebLink
PERMIT ,AP�LICATIOlV <br />CITY OF EVERETT PERMIT SERVICcS <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — wnvw.everettwa.org <br />SITE ADDRESS <br />�jo 30 ��i, �L C�J <br />LEGAL LOTNO. <br />DESC. <br />OWNER <br />C�� � ���:� � !Vl ,,��U <br />TENANT N E <br />CONTRACTOR <br />CONTR. LICENS[ # <br />USE OF BUILDING <br />��,,,r�l� �-'a�`� <br />WORK DESCRIPTION <br />��I���4-,���,U I <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PARCEL TAX I.D. # <br />C� 70�1 -oe�c�-�o�-G� <br />BLOCK TRACT OR SUF3DIVISION p <br />r P�s . <br />P ��. <br />NO. I TYPE OF FIXTURE OR ITEM <br />Tole; <br />�alhWb <br />La�abry (wash baein) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes washer <br />Waler heater <br />Sink (servicc/badmop/elc.) <br />Back(lo�v preveNer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />IT # <br />Awnes� �iiriur rnvrve �`�-- <br />qo ��o ;'� �'L. c�l �'��-� r� q g z� �� 35'; - <br />CONTACT FOR PERMIT <br />��ti`�� <br />HEATSOURCE <br />� Electric _ Gas _ Other <br />PHONE <br />CONTRACT PRICE OF WORK <br />�ii r�r- — <br />MtGHANIGAL <br />TYPE OP FIXTURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Waler heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat p��mp <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodslove <br />CITY OF �VERETT LOCAL SALES TAX CODE �S 3105 <br />I hereby cerilify that I have r�ad and examined lhis applicalion and k.now the same lo be true and correct All provisions of la�vs and <br />ordinaces c�overnin� Ihis type of work will be wmplied wiih whether specified herein or noL The granting o( a permit does not presume <br />to give aulhority to violale or cancel the prowsien o( any other ,tate or local la�v regulating construction or Ihe performance o( <br />construclion. That I am aulhorized by the owner o( lhis property lo perform lhe work for whirh application is made and I comply with the <br />State Contr�ctors Law 18,27 RCW�nd 29G.700 WAC. , i <br />% 9�0 &� <br />