Laserfiche WebLink
SITE ADDRESS <br />1 <br />� � ���� <br />LEGA J1.OT NO. <br />P�RMIT APPLICATION <br />CITY OF EV�RETT PERMIT SERVICE� <br />3200 CEDAR STREET, EVEF.ETT, W!, 98201 <br />425-257-88' 0- FAX 425-257-8857 - www.e verettwa.org <br />APPLICATIONS ARE ACCEPT[D FROM B AM 70 4 PM <br />• BLOCK <br />TRACT <br />PARCEL TAX I.I�. p <br />� Y'1 U l�0 /!� � GOc 1 <br />PERMIT 0 <br />iU l�� �, � U�; �� <br />__..__ .__.___ _...._.. <br />Iw �'/rt.T4 u,� <br />Ca/�}�E,r�fo,-�/ ��.� �� c� �a�v �,i� A�� �-,�� ��'��� <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />�bb U�-�ti �S�/� ��Y� <br />CONTRACTOR � f� S��/ „L <br />.� <br />CONTR.LICENSEtt �� Cl U����j <br />�JJ� <br />USE OF BUILDING <br />�ia <br />-1 <br />^ / e . <br />PLUMBING <br />TVPE OF FlXIURE OR ITEM <br />Tollot <br />Dathlub <br />' Levatory �wash basin) <br />Showor <br />Kilclion sink 8 disposal <br />Dlshwashor <br />f,lalhes washc+r <br />Wa�or heater <br />Slnk (eorvico/bar/moplolc.) <br />�ackllow provonlar <br />Urinal <br />Drinking rountain <br />Floor draln <br />Groaso irep <br />Roof Aralns <br />Olhor <br />ADORESS � CITY2IP PHONE <br />�o.�l �Puc'� I��t �Q Mu�S✓ilP 4�oZffD"��O <br />)LG 9�,��0 <br />HEATSOURCE <br />_ Eleclrlc � Gas __ Olher <br />CONTRACT PRICE OF WORK <br />�i�l����-� <br />/�5 � �.3 � <br />MECHANICAL <br />NO. � NPE OF FI%TURE OR ITEM <br />A/C — ev handling units <br />Forcod a�� systems <br />Ges piping <br />Walnr hoatcr <br />Ges liroplaco <br />Gas rango <br />Clothes dryor <br />Ranc�nhooA <br />Exheusifan <br />Hea� pump <br />Unit hoater <br />�oller <br />Refdgeralfon <br />Woodstove <br />CIN OF EVERETT LOCAL SALE5 TAX CODE IS �tOS <br />I hmoby cerllily thel I have read and azamined Ihis application end know Ihe samo lo ba true end conect. All provlslons ol lews end <br />nrdinecos govarning lhis lype ol work will ho complioA with wiwther specl0ed huroq, �r noL The granting ol a permit does not presume <br />lu givo eulhodty to violate or cancol Ihe provision ol any olher slale or local lew regulaUng constructlon or the periormance of <br />r.onstruclion. That I am euthonzed by ihe owner ol this propeAy to periorm the work for whlch appllceUon Is made and I comply wlth ihe <br />Stalo C ac 1027 RCW and tf0 WAC. <br />''��� ��/� ,��/�o �% <br />