Laserfiche WebLink
From:IIdAC IfJC. <br />To:9142�257H857 11I0?��011 01:09 m830 P.002/003 <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.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE, vADDRESS �� PARCEL TAX I.D. A <br />o7'G+O � / <br />LE ;/�l LOT O. BLOCK TRACT OR SUBDIVISION M <br />DESG. <br />O W N,ER AOORESS CfTY21P <br />� ✓�,��TrNousiNG �9urtf�'%�y - 27�5 /�'`�,i'�r�e�f • E�V� <br />TENANTNAME <br />, /n( G <br />CONTR.LICENSEf ��1.(f}.L� �`�B`J. <br />USE OF BUILDING <br />FOR <br />HEATSOURCG <br />✓Electric ✓Oas Other <br />PHONE <br />�EHMR # <br />�/ �l � ���� <br />ONE <br />�z5-3o3 -i�3 <br />IY Yf10NE 3�Q <br />/���,f <br />�¢.��o,� `�`� 7°�� <br />CONTRACT PRICE OF WORK <br />WOHK DESCRIPTION //,{�'�/L�L�. /�A�) G.�-�cl' S�tjt�r'V/�.� �� P�CX!//� i(/�Fs.) COP�� <br />/�,�.i�s fo aw ��.y-t,��-s � sEs p.-�c,r�-� cvPy o�• scdP� v�' wo r�c �t'�.9 a� <br />NO. � TYPE OF FlXTURE OR ITEM <br />� <br />Toilat <br />Balfdub <br />Levatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />Dlshwashor <br />Clathes wnsher <br />Wator heater <br />Sink (servi:e/bar/mop/otc.) <br />Beckilow proventor <br />Urina� <br />Drinking Founlain <br />Floor drain <br />Grense trap <br />Roo1 drains <br />Other <br />N0. I TYPE OF FlXTURE OR REM <br />FVC — air handling unils <br />Forced air systems <br />Gas piping <br />Wa1er heater <br />Gas lireplace <br />Gas range <br />Clothes dryei <br />Range hood <br />Exhausllan <br />Heat pump <br />Unit heater <br />Boiier <br />Relrigeralion <br />Woodstovo <br />Othor <br />CfTY OF EVERETT LOCAL SALES TAX CODE IS 31G5 <br />I hereby ceritily that I have read and examined this application end know tho same to be Irue and correct. All provisions ol laws and <br />ordinaces goveming ihis rype o1 work will be compliod with whether specilled heroin or noL The grantins ot a pormit does nol presume <br />to give authorily lo violate or cancel the pravision ot any other stete or local law regulatinp construclian or the porlortnance of <br />construclion. Thal I am avlhorizod by the owner ol lhis property lo perlorm lhe work lor which application is mado and I comply wilh �he <br />State Contraclorskaw �2pjiCW and 296200 WAC. . <br />