Laserfiche WebLink
P�RMIT APPLICATIOI� <br />CITY OF EVERETT PERMiT SERVICES <br />i200 C�DAR STREE i, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPiED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />: 1, l il �'� � � � ���- y ' t/ <br />[3LOCK <br />I �E SC. <br />II�Nd:ii:G151� <br />, <br />PARCEL TAX I.D. # PERMIT p <br />� <br />�j�r�Ec�i��6oc -��o�_-�iv� <br />_f=��-' �i��� ��r��- � -f-���-LCt��G'a <br />i CITY—IZIP �PH NE <br />S lviCow�.74 .�nt <br />CONTACT fOR PERMIT <br />�i /� <br />��� l�J�'Ut ti <br />CONTRACTOR � f v'J S��j ^' A� � js/S��`I �VC �� <br />//��!1 •� n <br />CON1R. LICENSE N � pK �� �r � �i � � / ,� <br />v t�� l L <br />USE OF BUILDING <br />� /_ , <br />HEATSOURCE <br />��G _ [I�cldr. ZC G,as __ , Olhcr <br />WORK DESCRIPTION � <br />PLUM8ING <br />NO. I TYPE OF FIXTURE OR ITEM <br />� Toilel <br />� Oalhtub <br />��_ Lavalory (wash basin) <br />Showr.r <br />� Kilchon sink 8 disposal <br />/ . Dishwashur <br />�Cblhes washor <br />Wator heater <br />_. Slnk (sorvlcePoar/moplulr,.) <br />_ BackAow provon�or <br />Urinal <br />Drinkinp Fowitain <br />Fbnr drain <br />Greaso lrep <br />� Rool dr�ins <br />Olhor <br />PHONE <br />�S� uo?e? a�� y� <br />CITY2IP PHONE <br />n.,u�s���Q v�.?�o� id�c <br />9 ���o <br />CONTRACT PRICE OF WORK <br />�/�%S�'>l>O <br />l►J <br />NO. I TYYE OF FI%TURE OR ITEM <br />A/C — air handllna unlls <br />Forcad a,r syslams <br />Gas plping <br />Waler hoalor <br />Gas fireplace <br />Gas rangc <br />Clolh�s di�ar <br />Range hood <br />Exhausllan <br />Heat pump <br />Unit heator <br />Poller <br />Retrlgerellon <br />Woodstove <br />Olhor _ <br />CI7Y OF EVERETT LOCAL SALE6 TAX CODE IS J105 <br />I heroby corlllfy thal I hava road and ezemined Ihis applicah•m and know the samo to be irue end coRocL All provlslons ol lews and <br />orAinaces governing Ihis lype ol work will be camplisd wilh wl,9ihei speci(red heroin or nat. The granling ol a pormil does not presume <br />tn give authonly lo violate or cancel tho provision ol eny olhor slate or local law reguleling constructlon or lhe peRormam:e of <br />conslruclion. Thal I em aulhorizod by tho owner ol this property lo peRorm Ihe work lor which applicetlon Is mado end I comply with the <br />5t�la C c tE7.27 RCW anA 'dD WAC, <br />l � �� �/�/0 � <br />Slgna'.uro <br />� �� <br />