Laserfiche WebLink
PcRMIT APPLICATIVN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />��.So�.�3 <br />APF-�_ICATIONS ARE ACCENTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CAROS ARE NOT ACCEPTED <br />SITE 4DDRESS PARCEL TAl( I.D. A PE�R''�IT N <br />1�1:s=- 02~d P . S . .t►,t � ��0�%-Z <br />LEGA� LOTNU. BLOCK TRACT <br />UESC�.�.�_�� i_..1.._ ('., n� �r...... ov.l n..� �1 r IAi11A <br />NAME <br />conrRacroR <br />�oa.S'fA-� C4r�S�3't.t.t-�7'Ori <br />CONTR. LICENSE R <br />USE OF BUILDING <br />.�J.��_�.�m � �_�-- <br />WORK DESCRIPTION �� <br />Co nsf�u.�-� si ny L� <br />CONTACT FOR PERMIT <br />r�.,�� JUVIHCO <br />ADDRESS <br />3y zs <br />CITV2IP <br />98 Zds <br />�r• Q� f. �. Ed e RE TT <br />HEAT 30URCE <br />_ Eloctr�r .� Gas _ Other <br />-�arni l�.t <br />J <br />NO. I TYPE OF FIXTURE OR ITEM <br />�ToIICt <br />Ba�htub <br />�7_ Lavatory (wash basin) <br />�? Shower <br />_ L Kilchen sink 8 disposal <br />J_ Dishwashar <br />.__�__ Clolhes w�sher <br />_L LaunAry Iray <br />Sink (service/barlmopietc.) <br />_ Backflow prevenler <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Groase trap <br />_4 _ Rool drams <br />Olhar <br />re c i =ie�u�- <br />PHONE <br />s. e <br />PHONE <br />s ) 87C-(63 D <br />CONTRACT PRICE OF WORK <br />NO. I TVPE OF fIXTURE OR ITEM <br />NC — air handling units <br />Z Force.d air systoms <br />5 i�ipin� <br />� . ��.i hoatar <br />� �.is fiioplaco <br />� �as range <br />� Cblhes dryor <br />�Ranc�e hood <br />Exhaust (an <br />Heal pump <br />Und heater <br />E{oilrr <br />� Refrigerahon <br />Woodslove <br />Other <br />CITV OF EVERET7 LQCAL SALES TAX CODE IS �105 <br />I heroby coritity Ihat I have road and examined this applicalion anA know lhe same to be Irue end correcL All provislons of laws and <br />ordinaces governing Ihis type of work will be complied wilh whelher specilied horoln or nol. The granling of a permil does nol presume <br />to give aulhority lo violato or cancel the provision of any other state or local law rogulaling construction or the pertormance oi <br />conslruction. That I am authorizod by lhe owner of this propehy lo perform the work for which applicatlon fs made and ! comply wilh the <br />Sta�e Conira ors Law 1tl. 7 RCW �nA 29fi200 WAC. <br />� ;�-D i��-- s�n � � ����� <br />Signalure wner Co aclorlAulhunzed Ac�ent ate �/ � <br />Z <br />