Laserfiche WebLink
PI�RMIT APPLICATION <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 />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRESS � PARCEL 7AX I.D. / <br />--5/y 95r�� C"c�u,�r S: C=. z�so6 iBoa.�o 3 yvo <br />NO. I BLOCN � TRACT <br />L[.��r N /5 <br />I . <br />7Co.Sur -�D.N�S /N�• //'�'6 N/A.Ci iYL`' �#C. <br />TENANT NAME �1NfACT FOH PERMIT <br />/�C,r//SCt�/� ��o , <br />CONTRACTOR 03r. i�/O/N�-; NC ADURESS <br />�Nn+� <br />CONTR. LICENSE 71 <br />asr. .4�•..Z. �oy z 6z <br />USE OF BUI! DING <br />s. �= ,c. <br />WORK DESCRIPTION <br />HEAT SOURCE <br />C��371 <br />_ �iK ✓i %�f <br />� �/r 7THr1 <br />c�- <br />E'odric �as _ Othor <br />7 —\�f '-07 <br />PERMIT N <br />� %�r;� -�) `�� <br />PHONE <br />3F0 -L•5L-7S9/ <br />PHONE <br />��,-GsL7Sii <br />PHONE <br />CONTRACT PRICE OF WORK <br />C_ �,ivs� K tl c i' itvy O� J/%vq�G �NJi �j/ �GSi D E�/!C' ` LSi� iG�.�i�� <br />� <br />NO. I TYPE OF FI%TURE OR ITEM <br />� <br />� <br />Toilo� — <br />BaOiWb <br />Lavalory (wash basin) <br />Showr,r <br />Kilchen sink 8 Aisp�s�l <br />G �hwashor <br />Clolhes washor <br />Waler hoa�ar <br />Sink (serviceltiar/mop/etc.) <br />�ackflaw proveNcr <br />Urinal <br />Drinking Foi :ain <br />Floor drain <br />Groase Irap <br />Rool drains <br />Olher _ <br />MECHANICAL <br />NO. I T/PE OF FIXTURE OR ITEM <br />A/C - air handling unils <br />Forc:ed air systoms <br />Gas pipinp <br />Wator hoater <br />Gas firoplaco <br />Gas rangn <br />Clolhes dryer <br />Ranpe hood <br />Exhau�t lan <br />Hcalpump <br />Unit heater <br />Bollor <br />P.olrigeretion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />I hore�y cerilily Ihat I have read and examinod Ihis application and know the same to bo truo and conect. All provisions of laws and <br />ordinaces �ovoming Uiis lype ol work will bo complied wilh whothor spoci�iod horein or noL The granling of a permil does not presume <br />to givo authorily lo vioiato or cancol the provision of any other state or local law regulating construclion or Ihe perfortnance ol <br />construclion. that I am authorized by iNa owner of this property to p�riorm the work for which application is made and I comply with the <br />State Conlractoj s Law 16 RCW and 29G.200 WAC. <br />/CE.V M �'fl� 6�9��i <br />