Laserfiche WebLink
SITE ADDRESS <br />I�W�3 " <br />LEGAL LOT N0. <br />TENANT NAMC <br />PERIVIIT APPLICATION <br />CITY dF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI�, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`IBZ� PARCEL TAX I.D. # <br />S�E•,C�re.�} oia��-7ooao��too <br />`1— i y �-iII <br />l"!C%�i' y��i <br />F9 <br />BLOCK TRACT OR SUBDIVISION k aF.N. <br />66dt $ouTrt �.A�cre �sThrPS #Zcrr7'o32U52a9 <br />ADORESS CITYIZIP PHONE !� �S�(j,0 <br />ld�►� „G20 5.�. �'vevetl Nl�ll I�.�r�.y ��£urr�d ,W� 9�1Q8 <br />CONTACT FOR PERMIT <br />Jabov� l-� wL�afe✓ <br />PHONE �175, S�iD. 07$�y <br />�..,,�� , ip5ovi.r. �INIC�ti{�er <br />CONTRACTOR ADDRESS —�� 1'IZIP P O E �— <br />P/�UFIG {�iE16�N75 Hau,�,uc C�7n5� Euert+( VVI�.q 11��Iz..3st�, �vP�'e�f, �BZa� <br />CONTR. LICENSE p " l,.2S. S�iO� d%B / <br />k�A�IFNHRIUPZ �'' '� <br />USE OF BUIL�ING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />S� ��, �q�y,� �y �j�C,Q. I _ Electric � Gas _ Other <br />WORK DESCRIPTION CCiNS�IAGfi�� � a �� ��" `�'`� �� ����'�� <br />.�, <br />' PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />�_' BathWb <br />^ I_avatory (wash basin) <br />� Shower <br />Kilchen sink 8 disposal <br />� Dishwasher <br />Clothes washer <br />Water heater <br />Sinf: (service/bar/mop/elc.) <br />Backflow prevenler <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Olher _ <br />N0. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhausl fan <br />Heat pump <br />Unil healer <br />Boiler <br />Refrigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />I hereby certify tfiat I have read and examined this application and know Ihe same to be Irue and correct. All provisions of laws and <br />ordinances governing this type o( work will be comptied wifh whether specified hereir or noL'fhe granling ot a permil does no! presume <br />Io give authority lo violate or cancei lhe provision of any other state or Iocal law regulating consWction or the periormance of <br />construcf at I arn aulhor}� by lhe owner of lhis property to perform ihe work (or which application is made and I comply with the <br />Slale C ntr rs Law 18.2,7'12CW�and 296.200 WAC. � � <br />