Laserfiche WebLink
SITE AD�RESS <br />;�.�G �; S,tEr <br />LEGAL LOT NO. <br />DESC. � � <br />OWNER <br />+'n � h+ �� E�7t� i�+ l� <br />TENANTNAME <br />PERMIT APPLI�A�'ION <br />CITY OF EVERETT PERMIT SERVICES <br />320G CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTEC FROM 8 AM TO 4 PM <br />�v�' f,����r' L, <br />6LOCK TRACT <br />� ! <br />F.ODRES <br />,GS 34 oi c�o/!, <br />CONTRACTOR � �1 ��Q��S'�,p�,.�'f-���,� <br />S��u.r�'S.L�C� <br />TAX I.D. # <br />i 0 � �& <br />c / ( i �-� � �l— <br />V <br />�� <br />FOR PERMIi <br />� li. l� �.t;�ir� <br />ADDRES5 � <br />nm 13 '=t.5�`C• <br />CONTR. LICENSE # ��.� <br />�_ccon��c�is�r�G a' 3'�`'`�`"'' <br />USE Of BUILDING O'� HEAT SOURCE <br />ual� ' -�. <br />C F �j� _ Electric � Gzs � <br />i <br />■!I <br />�a��G�o��-7 <br />I PFRMIT# <br />� � ��v�I�2% - <br />id'�0/ v'ZS s'`)Gn0 <br />PHONE <br />�l2 � '..,�-`� 3 '•� <br />CITY/ZIP PHONE <br />• '-I l )� <br />� �(-���(r��'I <�`�3'Sd'J� <br />�— CONTRACT PRICE OF WORK <br />otner I��,3 S, o o v <br />WORi( DESCRIPTION . _J <br />('�7 �' � <br />L U •� S � QU-C f � £ � V P ti. i �,.i %-) .. i.. ` ' .. � :1' <br />NO. I TYPE OF FIXTURE OR IiEM <br />Tailet <br />Balhtub <br />Lavalory (wash basin) <br />Shower <br />I(ilchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbadmop/etc.) <br />Back(low preventer <br />Urina� <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />M t�. �"� <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />� Forced air syslems <br />� Gas piping <br />� "�..�� Waterheater <br />� Gas fireplacc <br />Gas range <br />� Clolhes dryer <br />� Range hood <br />� Ezhaustfan <br />Heal pump <br />Unil heater <br />Boiler <br />Refrigeration <br />Waodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and ex3mir,ed this application and know the same lo be true and correct All provisions o( laws and <br />ordinaces �overning this lype of work will be complied wilh wheiher specified herein or noL The grenting of a permit does not presume <br />lo �ive authority to violate or canc�l lhe provision oi any other stale or Iocal law regulatinc� construction or the performance of <br />construction. Thal I am aulhorized by lhe owner ot lhis property to perform the v�ork for which application is made and I comply wilh the <br />State CoNraclors Law 1827 RCW and 296.200 WAC. <br />