Laserfiche WebLink
P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />n I�`Z� �p 3200 CEDAR STREET, EVERETT, WA 98201 <br />�f ' �� 425-2fi'-8810 - FAX 425-257-BB57 - www.everetlwa.org <br />/,�LG "7`� <br />SITE ADDRESS <br />1�A�18� <br />LEG� <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />BLOCH <br />PARCEL TAX I.D. p <br />9BZ� oo¢Bo�oo ioo <br />TRACi <br />P�>� ��� - ��a� <br />RMIT # <br />".��D_3v�� <br />.,..�.,.�. •�--"--- _....__ . <br />l,�p,e �u �,✓✓urr,•,�vs�av, �Z e�.�* .f� ���r�-rr982aS C4�s%4�t-as�� <br />TENANTNAME <br />CONTRACTOR <br />C�A++k f��- I,✓.�srMavT L'qev. <br />CONTR. UCENSE p <br />USE OF BUILDING <br />.Siet4�E �+�'►i�v <br />CONTACT FOR PERMIi <br />�8�ci �,�7Fe <br />ADDRESS <br />gssz ati � S. E, <br />HEAT50URCE <br />_ Eleclric X Gae _ <br />PHONE <br />C41s) 4�-oa7� <br />CITY2IP PHONE <br />Ed�,�1� c4u)4tz._oe?� <br />I CONTRACT PRICE OF WORK <br />Othor +�'/SOj DOO -� <br />WORK DESCRIPTION <br />Ccwsru�cr t/N6�LE F��"��cy �T/dE.dCE �C•O.E. 8�S/G R/i►'�iA`2IZ., <br />on� �� o� NEsr�e T:,�,vNe.-sEr sns F�•+N. SEi°A # o�-ozs <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilet �ll � <br />� Balhlub � �r <br />� Lavatory(vYashbasln) Jl/f I <br />� Shower � <br />� Kitchen dlnk 8 disposal <br />�_ Dishwasher <br />i Clothes washer <br />„�_ Walorheater <br />Sink (sorvlco/barlmop/etc.) <br />�^ BackOow provonter <br />Urinal <br />Drinking Fountain <br />Floor draln <br />Greaye trap <br />Roof drains <br />Olher <br />I:L'� <br />, ,.,....,..,.....�_ <br />TYPE OF FIXTURE OR ffEM <br />A/C — air hentlling uMts <br />Forced alr aystems <br />Gas plping <br />Waler heater <br />Ges Iireplace <br />Gas rango <br />Clolhes dryer <br />Ranga hood <br />Exhausllan i)jC,( <br />Heel pump � <br />Unit heater <br />Boller <br />Refrigeretlon <br />Woadslovo <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />I heraby cerilify lhet I have read end examined this epplication and know !he same to be ltue and cortect. All provlslons ot lev s end <br />ordinacos gaveming this lype of work will be complied wilh whelher specifled hereln or not. The grenUnp o( e permil doea not presume <br />lo give eulhority to violate or cancel lhe provlslon of any olher slate or local law regulalinp consWcUon or lha peAartnance a( <br />constniction. Thal�a�e e by Ihe owner ol thls property lo perlorm lhe work for whlch applicatlon Is mado end I comply with the <br />Stato Contractor�w 18. d 2�J�.200 WAC. <br />-28-07 <br />��Z <br />