Laserfiche WebLink
PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE fT, WA 98201 <br />425-257-8810 - f"AX 425-257-8857 -- www.everettwa.org <br />APPLICATlONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />�8�� 9¢�3 Sr s.�/ <br />LEGAL LOT NO. <br />�ESC. � <br />BLOCK I TRACT <br />PARCEL TAX I.D. tl <br />on (cc' z <br />ll-'.�l-G�� <br />C',O�-1 � - c�3 P� <br />PERMIT R �I-� <br />�7Af�6 L�t� j� � <br />—�---- � (+�-Er.c1 � `/ �tAR� /cs�c7s <br />/� ADDRE33 LITY2IP PHONE <br />3:3Z � 5,–. S,G; G�� ��, q1'�Zos (qzs��zz-o��� <br />�w I��'ESTM6Ni Cc�CP, � — <br />TF.NANi NAME I CONTACT FOR PERMIT PNONE <br />�,�,� a,� Po�.�� � �s) 4zz - ��-� <br />CONiT2ACTOR �� �}� � �� � N U. ADDRE83 �?i 3Z � iZ ScCI7Y21P ��Q jl�HONF �-�C'�Zz-c'E!7"l <br />CONTR. LICENSE � �� pA �N r ys� Pf <br />USE OF BUILDING <br />Si�✓G•LE fJN11 G'� <br />WORK UESCRIPTION <br />--- ---- - -------- <br />PLUMBING <br />NU. I TYPE OF FI%IURE CR ITEM <br />_J— Talel__'—_'_—"_' <br />_� F3athlub <br />_4._ Lav�tory Iwash haslnl <br />_L_ Showei <br />_�__ Kitclien sink 8 dispusal <br />_� C115I1W15�1Cf <br />_(_. Clolhes washer <br />Laundry tiay <br />Smk (scrvir,e/badm�/etc ) <br />1 �adcllow pievenler <br />Unnal <br />Diinkmy foun�am <br />Floor Aram <br />Grease Irap <br />_� Rool Arams <br />Olhei _'_—_—_____ <br />HEAT SOURCE CONTRACT PRICE OF WORH <br />___ Clectric � Gas _ OUier ��i(J� OOiJ_rr, <br />__ _. - <br />MECHANICAL <br />NO. I TYPE (1F FI%TURE OR ITEM <br />A/C – air M1endling uniLa <br />� Forced air syslems <br />S_ Gas plping <br />�_ Waler lieate� <br />�_ Gas lireplacr <br />�_ Gas r��ge <br />1_ CWthes dryei <br />_�_ Range hoad <br />�_ Fxhausl fan <br />_ Heal puinp <br />Unll heater <br />Boder <br />Retrigeration <br />WOO(ISIOVP. <br />-- Olher ----- <br />CfTY OF EVERETT IOCAL SALES 1A% COOE IS I105 <br />I hereLy cenlily that I heve re�d and eKamineel thls applicnlion and know Ihe sanie to be tnie and correG. NI provisions ol lawc end <br />ordinaces �7oveming Ihi, lype of work will be comp0ed with whelher specified herem or not The granling of a permil does no1 presume <br />to yrve authoriry to violale or cancel Ihe pruvision ol any other slate or local law regula�ing conslrucGon or the pedortnance of <br />conshuclion 7 hat I�m authuriz�l by Ilie rnvner of this propeity to perinrm Ihe work lor which apphcation is made and I comply with I ie <br />Slale Cont{nclors Law id'27 RCW and 9G 200 WAC: <br />�' !�i ��_ <br />���1"�= � --- - -- e _ l�2 <br />Siynalure o1 Owneri aNrnclod uth iv.e Agent <br />