Laserfiche WebLink
SITE ADDRESS <br />C. � S �� <br />LEGAL Y/ N0. <br />oesc. uN; r # � <br />R�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 6`R �� <br />425-257-8810 - FAX 425-257-8857 - www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK I TRACT <br />PARCEL TAX I.D. # <br />��� ) (C i r'% - ] <br />.,..,.�.. ...,....�..., ,.,,,,..,� .,,36e-G,SZ-7sf/ <br />Ree_G �oMtF` lNG I1706 MAIPrA1G �k1UE . MA?1[S✓i/I!. I8Z1/ <br />TENANTNAME � I CONTACTFORPERMI PHONE <br />CONTRACTOR <br />RoSE i�o%q6cs, �Nc• <br />CONTR. LICENSE p <br />Rase Nr* oyz <br />USE OF BUILDING <br />WORK DESCRIPTION <br />� ICEA( lC6o%I AIo i�AY cseSTl�.1'S 3Le-bss-7.='!/ <br />ADDRESS CITY2IP PHON <br />�/706 M�iu� �R. /17��'�a✓r/� 98z7i �•.G.s2-7sl7 <br />HEATSOURCE <br />Eloctric ✓Gas <br />Olhor <br />CONTRACT PRICE OF WORK <br />G�oh/3T'RuCr/eN OF Ji�Ny/6 /yI/.(; Lr �QdJ%A6KGQ ��/AN �J BAs�G ~2/B <br />NO. I TVPE OF FIXTURE OR ITEM <br />�_ Toilol <br />��alhlub <br />Lavalory ��vash basin) <br />J_ Showor <br />_� Kitchen sink & disposal <br />/ _ Dishwashor <br />�Clolhes washor <br />_ Waler honlr.r <br />Sink (service/badmup�rlc.) <br />— �ackllow prevr.nter <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Groaso trap <br />� kool drains <br />� Olher <br />N0. I NPE OF FI%TURE OR ITEId <br />I A/C — air handling unlls <br />' Forced air sysloms <br />Gas pipinp <br />Wator hoaler <br />Gas Ornplaco <br />Gas rango <br />Clolhas dryor <br />Rangehood <br />Exhausl lan <br />Hoat pump <br />Uni! hoalor <br />Boller <br />Relrigeration <br />Woods�ove <br />Olhar <br />CITY OF EVEHETT LOCAL SALES TAJ( CODE IS J705 <br />I hereby ceritily that I have reaA and examined ihis application and know tho same W be irue and corcecL All provlsions of laws and <br />ordinaces c�ovominc� this lype of work will bo complind wilh whether spocifiod horoin or noL The granting of a permil does nol presume <br />to c�ive authoriry lo vrolato or cancel Iho provision of any other slate or local law regulating construclion or lhe performance of <br />constniction. That I am aulliorized by Ihe ownor ul Ihis property to per(ortn Ihe w�rk for which applicalion Is made and I comply with Ihe <br />Slale Conlractors Law 16.27 RCW and 2�JG.200 WAC. <br />�EN /� _ ��et/ 10-11- O6 <br />