Laserfiche WebLink
SI7E <br />LOT NO. <br />VESC <br />PERMIT APPLiCATION <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 />APPLICATIONS ARE ACCEPT[D FROM 8 AM TO 4 PM <br />PARCEL TAl( I.D. p I )P-.-RMIT p <br />�,�'�` �TS✓���yn0� oo�o..��o�� L�:��-� . �� . <br />BLOCK � TRACT <br />3� �' <br />G•�fz'i'�%l�� L L G /O�S✓,��/.t�/ S.�'ife�»•�� sv tr"-��/ <br />TENANTNAME CONTA FOR PERMIi PHONE <br />_� _ � /.sob ����� �S" ����� <br />CONTRACTOR /�/+ <br />CONTR. LICENSE M,� <br />�, <br />USE OF BUILDING <br />WORK� � <br />L <br />,'`>/t`�i��- '�� � <br />PLUMBING <br />NO. � TYPE OF FI%TURE OR ITCM <br />Tniln� <br />F3alhWb <br />L�va�ory (wash liasin) <br />Shower <br />Kilchen sink 8 dis{x�sal <br />Dishwashm <br />Clothns washnr <br />Walor healer <br />Sink (sorvicelbar/moplolc.) <br />Backlbw preventnr <br />Urinal <br />Drinkinp Founlain <br />Flour draln <br />Graase trap <br />Rool drains <br />Olher <br />A/��5/ �C4Gli %il2' �N� .,�i PHcO'NE� <br />�/J <br />HEA'i SOURCE <br />[ledrir. _�Gas _. Olher <br />�x?�o ��� �,��v <br />� C:INTRACT PRICE OF WORK <br />NO. � TYPF OF FIXTURE OR ITEM <br />A/C �- air handling units <br />J Forced air sysloms <br />� Gas pipiny <br />Waler heater <br />� Gas firepl:�r.r. <br />Gas �an�e <br />Cloth�s Arycr <br />_� Ranc�o hood <br />Erhausllan <br />_ _ Hoat pump <br />Unil heator <br />Boiler <br />Refrigeration <br />Woodslove <br />Olher <br />CITY OF EVERETT LOCAL SALFS TAX CODE IS 7705 <br />I hmoby ceri�ity Ihat I have read and examined this applicalion and krxiw the same to be Irue and coned. All provlsions ol laws snd <br />ordinacos govununy ll�is lype of work will be cuaiplieA wilh whalher specified hcr�in or noL The pranting ol a pennit does not presume <br />to give aulhonty to violate or cancol Ihr, provision of 3ny olher y���o or lor.al law reyulaling construcllon or Ihe peAormance of <br />conslruction. Thal I am aulhorized by Iho ownar ol Ih�• pmperty to periorm Ihe work for which application is made and I comply with Ihe <br />Slate Contractors Law 18.27 RCW and 2D6.200 WAC. <br />. � . _ . <br />% <br />