Laserfiche WebLink
�'�;:1./ <br />1 -I�c� -1 ic , <br />SITE ADDRESS <br />� �,�_�ii <br />� � _ <br />LEGFL LOT NO. <br />DESC. � . .-_ . <br />s: <br />�� <br />� <br />J� <br />PtRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� PARCEL TAX I.D. # <br />� �.,`t �� �c }�. � C (� i �� � <'Cr <br />BLOCK TRACT OR SUBDIVI310N # <br />�A i C' �_ il` i�" i�lCL11 S P V'� <br />; � (����-��- �1_1��''CSIIY i�i�i E �., L� �C�� ' ��G �jC� 13C� f 11Ci�� ��i5�'illP_�!�-�C <br />TENANT NAMC• CONTACT FOR PERMIT P�IONE <br />� ��"�:.iY�i)e'.jcrldCZ --�'��� �IS�I'`jIF&I <br />_I�- ___e•mai�I11�11�_, �icin5����i k:�%, <br />GONIKAGIUH j_����� � (7Ll�T�'✓����fN1jYYL�I,'�1���� i <br />L ` <br />CONTP.. LICENSE # �_ �, f� �1 L CCG"I �-1 �Iv �`� � �-X : � <br />i <br />USE OF BUILDING <br />�:����j���i� Il �t<� � <br />HEATSOURCE <br />_ Electric _ Gas �Olhe� <br />WORKDESCRIPTION j��\�t\ � P�'�l i.�_% �L ��1�1� X <br />i -�:� u �-- <br />c(a � i. z <br />N0. <br />�Ill�il 7 <br />TYPE OF FIXTURE OR ITEM <br />Toilel <br />Bathlub' <br />Lavatory (wash basin) - <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (serviceNadmop/elc.� <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roo( drains <br />Other <br />\ <br />� <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF f-IXTURE Oi21TEM <br />A/C - air hanaung units <br />� Forced air systems <br />Gas piping <br />��" W2ter heater <br />Gas fireplace <br />Gas ranye <br />�Clolhes dryer <br />Ran�e hood <br />� Exhausl fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />i Wuodstove <br />CITY OF EVERETT LOCAL SALES'iAX CODE IS 5105 <br />I hereby cerilify ihat I have read and examined ihis application and know ihe same to be lrue and correcL All provisions of laws and <br />ordinaces governing this lype ot work will be complied wilh whether specified herein or noL The c�ranting of a permil does not presume <br />to giva :;uthority to violate or cancel Ihe provision o( any other state or iocal law regulalinq construction or the performance ot <br />consUur,tion. That I am aulhorized by the owner of lhis property lo per(orm the work, (or :�hich applicalion is made and I comply wilh the <br />St�te Gon��actors La/1827 RCV� and 296.2p0 WA j �� � ��% <br />�___ _ _ _-- <br />/� <br />iil <br />