Laserfiche WebLink
SITE ADDRESS <br />LOT N0. <br />7—(,,� <br />P�Ri�11T APPLICATION <br />CITY UF EVERETT PERMIT SERVICES <br />3Z00 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 - �.vww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FR!)M 8 AM TO 4 PM <br />BLOCK I TRACT^ <br />PARCEL TAX I.D. S <br />Z <br />PERMIT # <br />NGo� , <br />uwntn A�DRE55 CITY2IP PHONE <br />L�ke-c�+n0 N���c�S �-r�� <br />j-�u. �°✓GX f348 Lk S�rc�c_r+S ,1�.+�- �t6Z58 425� 35(�, ��c,l <br />TENANT NAME � COIJTACT FOR PERMIT PHONE <br />I S-i-�UL t...,✓+�¢8�5 yzs �3SG -��G"7 <br />CONTRACTOR �K�Lh^� ADD2ESS CITY/ZIP PHONE <br />D 1+�cS =���. <br />CONTR. LICENSE # L�1K C- L HZ 001 TL <br />USE OF BUILDING <br />S <br />WORK DESCRIPTION <br />HEATSOURCE <br />_ Elactric � Gas _ Olhcr <br />l.(:Y�ST/�U�IiGI.% Oh 2t'ii.`� l� .SIhiL <br />NO. I TYPE OF FIXTURE OR ITEM <br />_j_ Toilet <br />L Balhtub <br />`I Lavatory (wash basin) <br />z Shower <br />t Kitchen sink 8 disposal <br />� Dishwasher <br />_�_ Clolhes washer <br />_L Wa�or heater <br />_i SinF. (service/badmop/etc.) <br />Backflow prc�enler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air syslems <br />Gas piping <br />Water heater <br />Gas (ireplace <br />Gas ranc�e <br />Clothrs dryer <br />Rangc hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERE�R LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y thal I have read and examined this application and know the same lo be irue and correcl All provisions of laws and <br />ordinaces governing this lype of work. �vill be complied with whether speci(ied herein or noL'fhe granting of a permil does not presume <br />to give aulhority to violale or cancel lhe provision of any other state or local law regulating consWction or lhe performance of <br />construction. That I am authorized by lhe owner of this property lo perform lhe work for �vhich application is made and I comply vaith Ihe <br />Slate Contraclors Law 18.27 RCW and 296.200 WAC. <br />-Z�/-U C,� _ � <br />Date �/ <br />Z <br />