Laserfiche WebLink
PERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, �NA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />2:�� , y�� s'� <br />LEGAL LOT N0. BLOCK TRACT <br />DESC. <br />OWNER ADDRE <br />/JC'%c`C�l / i�� d/� <br />TENANTNAME � C NTA <br />�c' J/ZY/�t `�� �'iG� <br />E # �nr��/ �� <br />'C� 7�-�� .� <br />USE OF BUILDING <br />WORK. DESCRIPTION <br />PARCEL TAX I.D. # <br />FOR PERMIT <br />'� �'l3// /5� �i�'- Se-r <br />HEATSOURCE <br />Eleclric Gas Olher <br />PHONE <br />r�l�- �'f/ <br />CITY2IP PHONE <br />�r�frcrt,s�� �ap0 <br />�/3y33 ' <br />CONTRACT PRICE OF WORK <br />��''S'�Gl �?ELc; q8 �////UcP� S./SlLiOl�t �j'�l"EYri tr'f/i�1�N bh•'2° <�'t//mH <br />7 u <br />NO. I TYPE OF PI%TURE OP. ITEM <br />Toilel <br />Bathtub <br />Lavalory (wash basin) <br />Shower <br />Kilchen sink & disposal <br />Dishwasher <br />Clothes washcr <br />Waler healer <br />Sink (service/bar/mop/elc.) <br />Backfiow prevenler <br />Urinal <br />Drinkin� Founiain <br />Floor drain <br />Grease lrap <br />Roo( dr ' <br />� Olher �hE ��i'/H f�'S <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ A/C—airhandlingunits <br />_ Forced air systems <br />_ Gas piping <br />W ater heater <br />Gas fireplace <br />Gas range <br />Cblhes dryer <br />Ranc�e hood <br />Exhausl fan <br />Heat pump <br />Unit heater <br />_ Boiler <br />Re(rigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceriti(y that I have read and examined lhis apalicalion and know lhe same to be lrue and correcL All provisions of laws and <br />ordinaces governing this type of work will be complied wiUi whether specified herein or noL The granting of a permil does nol presume <br />lo giv9� ulhority lo violale or cancel the provision of any olher state or Iocal law regulalinc� construclion or the performance of <br />constQuQtion. TjaSj�l am a�}Sl'�r�zed by the owner o( !his p;operty to perform Ihe work for which applicalion is made and I comply with lhe <br />State �'dntrapfoy� Law y� RCW and 296.200 WAC. <br />