Laserfiche WebLink
SITE ADDRESS <br />a �� X �` <br />L�.^..4 LOT NO. <br />o.=.sa ,- �. <br />PEh:MIT APPLICATION <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 />PARCEL TAX I.D. # <br />st f,.�,�<$ I- �� �, <br />BLOCK TRACT OR SUBDIVISION # <br />,,,,�, n .,. � Le r_,,,,.� Pn �:t <br />�ll <br />��Gl'..�PS ��ni+���� L.rM.}'c.i /�'/IItTN�i.il.,� fS7�b �jl...id �%2 N� %i<�Til✓./�Q _ <br />TENANT NAMG I CONTACT FOR PERMIT PHONS �/) 5> 51 � yz � <br />MArx�N ph�,pr,�T� <br />CONTR. LICENSE # <br />r� �tTs <br />USE �F BUILDING <br />S�Ntr�� F4M�I�/ p���rl.�� <br />WORKDESCRIPTION p<'����l,v, <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathlub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishr✓asher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopietc.) <br />Backflow preven�er <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grease irap <br />Roof drains <br />Olher <br />O y Mf�f3un <br />D�RE �305 5 9� P� ti� <br />SOU <br />x Electric __ Gas _ Other <br />itfA.cY��/l� '�Z<> >s9 syz. <br />Y�1 71J <br />CONTRACT PRICE OF WORK <br />,� / O o . c�ve� <br />/._ �.,.� <br />,.r���i.<.< <r..,.�. ��^--���,� <br />/1�-�a <br />eVnC.i <br />N0. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas piping <br />Water heatcr <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Ezhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigera!ion <br />Waodstove <br />Oiher _ <br />CITY OF �VERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceriti(y that I have read and examined this application and know the same to be true and wrrecL All provisions of la�vs and <br />ordinaces governing Ihis type of wod� will be complied with whether specified herein or nut. The granting of a permit does not presume <br />to give authoriry to violate or cancel �he provision of any other state or local law regulating construction or the pedormance of <br />construc�ion. Tha41 am authorized by ihe owner of Ihis properry to perform the work for which application is made and I comply with the <br />Slale Contractors Law 78.27 RCW and 296200 WAC. <br />S <br />