Laserfiche WebLink
SITE ADORE3S <br />2 �2'L <br />LEGAL LOTNO. <br />DESC. C� �- <br />JCIC � ���`, <br />TENANTNAME <br />PtRMIT APPLICATIC�N <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 />�.PPLICATIONS ARE ACCEPTED FRfiiN 8 AM TO 4 PM <br />PARCEL TAX I.D. N PERMIT k <br />{`,1�� 5i� � OS(70u�a�ISoo '•'GS/)-��.-�— <br />BLOCN TRACT <br />SS oUz -a � <br />ADDRESS CITY2IP PHONE _ z .� - <br />r�e s <br />YN `� � - `,E ; <br />ACT FOR PERMIT <br />o N- �i�7�1J 3 �o - �� <br />PHONE <br />� �. '' � I � . ., .. . <br />'.`r � i . • � 1 • !•� <br />CONTRACTOR ADDRESS CITY2IP PHONE L-IZ S- <br />�(1�o�1S���1 ��tVYlr-� <br />CONTR.LICENSEp ' ` � <br />�� o�� H1 �>>�Imw �� -�D'.1, � I�, `�T `,t SNOH ���SZ�Iv � 330 � L,���I� <br />USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />l <br />WORK DESCRIPTION <br />L //�) /(�, <br />i <br />_% r I . I '����' r�- � <br />NO. I TYPE OF FII(TURE OR ITEM <br />�__ Toilel <br />�Eiathlub <br />l.av�lory (wash basin) <br />� Showor <br />i Kil�.han sink 8 disposal <br />T Dishwashcr <br />7 Clolho, washr.r <br />_�_1 Wa�er healr.r <br />_ Sink (sr,rvicr.lbarlmo���ol� .) <br />__ Oar.kllnw picvcnlr.r <br />Urinal <br />Drinking Foun�nin <br />Ronr drain <br />_ Grease �rap <br />Roul drnins <br />Othcr <br />. —I —..--- -- ---_ <br />_ Eloctdc � Gas _ Olher <br />� �� <br />NO. I T'PE OF FIXTURE OR ITEM <br />A/C — air handlinq units <br />Forcod air sysloms <br />Gas piping <br />Water heater <br />Gas lireplace <br />Gasrango <br />Clothes dryor <br />Rangehood <br />Exhaus� lan <br />Hoat pump <br />Unil heater <br />Boiler <br />Rolriyoration <br />Woodslove <br />Olher <br />CITV OF EVEREtt LOCAL SALES iAX CODE IS J705 <br />I hereby centdy Ihat I have reotl anA eYamined this app4r,ation �nA know tho samo lo be Irue and corroU. All provisions ol laws and <br />ord;nacos yoverniny Il�is lype ul work will be complied wilh whelhor specilied herein or not. The gran�ing of e permil does nol presume <br />lo give aulhurity lo violate or cancel Ilw provision ol any oP�er slato or local law rogulatinc� consWetion or the perlormanco ol <br />construction. That I am aulhorized by Ihe owner o� �his prnperty to pnrlorm lho work lor which application Is made and I comply with the <br />Slalo Conlraclors L�,�+ 8 27 R W and 29fi.200 WAC. <br />,� '��'� �L!a�'1 � �� - u - c� s <br />�IZ <br />