Laserfiche WebLink
P�RMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org G�-1 �� Q� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SIT ADDRESS <br />��� 95' c'� sG <br />t�. r�. BLOCK <br />GAli I ,2 <br />PARCEL TAX I.D. # <br />TRACT <br />� <br />���7 ��9-..2� <br />ERMIT p <br />��7/O 'Ci�� <br />ADORESS CITY2IP PHONE <br />RUSf HUMQS .ZJJG I170G MR +jNE DR <br />TENANT— NA� "TACTFOR <br />Yie u Kr� <br />CONTRACTOR <br />CONTR. LICENSE M <br />USE OF BUILDING <br />Qj� /NC. ADDRESS <br />/J70G MI>K�Nr �.1. <br />� <br />HEATSOURCE <br />CITY2IP <br />/�iARy3✓�/// <br />98z7i <br />s��, I _ Cle^tric � Gas _ Olhor <br />WORK DESCRIPTION <br />PHONE <br />9Fs•dsL 7s! <br />PNONE <br />36a. G52-7S1/ <br />CONTRACT PRICE OF WORK <br />CoNsTRl.tG7'IaN OF Si N, �t FAM% Lr R�eai o��vice C q�SW B) PA9.'c�2�9 <br />NO. � TYPE OF I IXTURE OR ITEM <br />7oilot <br />L'alhtub <br />Lavalary (wash basin) <br />Showor <br />Kilchen sink 8 dispasal <br />Dishwashor <br />Clolhos washer <br />INalcr hr,;dnr <br />Sink (servicelher/mopleta) <br />�ackflow prev�nlnr <br />Urinal <br />Drinkinq Founlain <br />Floor drain <br />Groasolrap <br />Rool drains <br />Olhar <br />NO. I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />1 Forced air systems <br />a,� Gas piping <br />� Wator hoalor <br />Gas liroplace <br />� Gas rango <br />� Clolh�s dryer <br />�_ Rango hood <br />t�� Exhauct lan <br />Hoal pump <br />Unit hoator <br />9oilor <br />Rofiigeration <br />Woodstova <br />-- Olhor <br />CITY OF EVERETT LOCAL SALES TA% CODE �S �103 <br />I horoby corilily that I liave roaA and oxamined Itiis applicalion and know the samo to be true and correct. All provisions ol law� and <br />ordinaces �ovr.ming this lype of woik will bo compliod with whothor spocihed herein er not. The granting of a pormit does nol presume <br />lo givo authority to violale or canccl tho provision ol any othor state or local law n+gulating construclion or the periormance of <br />consirudion. That I am authoriz�d by tho ownor ot Ihis property to perlorm Iho work lor which application is made and I comply wilh lhe <br />Statc Coniraclors Law 1827 RCW and 2�J6.200 WAC. <br />�] <br />