Laserfiche WebLink
SITE' A'DDRESS <br />LC�A 1 LOT NO. <br />DESC. I O <br />TEtJHNT NAME <br />PERMIT APPLICATIOtW <br />CITY OF EVERE7T 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 />� �-6I —/U <br />/7C.) �,-��? <br />9820� PARCEL TAX I.D. # PERMIT # <br />S.E.C�re-N olahq�ooaolnoo (�;3 <br />BLOCK TRACTOI',SUBDIVISION# f'.,F,N. <br />66& $ouTN Gqv� �sThf�S �Z�'1o32fi52U9 <br />CONTRACTOR � <br />PAGIFIC µE16�H75 <br />CON7"R. LICENSE # ^ , , , , <br />USE OF BUILDING <br />Slv�lt.. �itw�i�y �Z.e.c�lGl2�nu2 <br />2o St. �veveti NMII �Uc�y Sfe 35U, �'�aretl ,�lh 9�7A8 <br />CONTACT FOR PERMIT <br />�brnn ��v���afe� <br />Cv.�o SE Et�ve+f lMall <br />' .:v�- ,".h • +'. .� {. <br />HEATSOURCE <br />_ Electric � Gas _ Olher <br />PHORE �175, S hV . O/X'7 <br />E-MAIL � I A SON . r. I I N IC �'CM ( <br />c .�nw i <br />`.#�.3sU � u2 ✓e'�, <br />B� <br />CONTRACT PRICE OF WORK <br />WORK DESCRIPTION ��S�uG'�� � � &�� �' r��� �� ����'�� <br />--- - - - -- , .. � '�a� <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavalory (wash basin) <br />Shov✓er <br />f<itchen sink & disposal <br />Disliwasher <br />Clothes washer <br />Water healer <br />Sink (service/badmop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease Irap <br />Roof drains <br />Other <br />� 3's7 <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C — air liandling unils <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clathes dryer <br />Range hood <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Reirigeralion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby certi(y that I have read and examined Ihis applica�ion and know lhe same to be irue and correcL All provisions of laws and <br />ordinances governing lhis rype of work will be complied with whether specified herein or noL The gran�ing of a permit does not presume <br />to give aulhoril o vioiale or cancel Ihe provision of any olher state or local lativ regulalin� consiruclion or the performance of <br />ce�sirudio .'ha I am authorize the owner of this property to perform ihe �vork for which application is made and I cumply with ihe <br />State Co r rs Lzw 18.27 W d 296.200 WAC. <br />�,..-�.. �c �—� (� �Y l�% <br />� <br />� <br />