Laserfiche WebLink
PERMIT APPLICATIOfV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS FARCEL TA% I.D. M P M� <br />��lC� !l�f" .`�f�$d'1� D0�_ -7c)b00Cs�yn� ���'��%� ��� <br />LEGA: LOTNO. BLOCK TRAC1 <br />DES�� <br />NP h �-; n�,( i' ✓v�s �zv� e��. <br />, 37�ln W�l�»n✓� <br />TENANT NAME CONTACT FOR PERMIT <br />�'� � � �� �y i� /i) , ��:�., <br />CONTRACiORr��%-GS�/I�fI7�/f Sl/S%�i�tj <br />Su <br />CONTR. LICEHSE I.,- <br />l-/v�k'A��£�ja�C� <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�l�P/�� O <br />.�� a w� l,Y <br />/h-'c�. S/�•. /3 <br />HEATSOURCE <br />Eleciric Gas Otner <br />�' i�i S/ � �1c� �)O/1'1C� <br />0 <br />NO. I TYPEOFFIXTUREORIrEM <br />ToBet <br />BathWt <br />Lavatory (wash basin) <br />Shouwr <br />Kitchen sink A d�sposal <br />Dishwasher <br />Clolhes washer <br />Laundry hay <br />Sink (service/bar/mop/etc � <br />�ack0ow preventer <br />Unnal <br />Drinking Fountair. <br />Floor Arain <br />Grease trap <br />Rool drains <br />Olher <br />`L52 <br />> SG� <br />PHONE <br />� l � `iz ti� 3a3-815� �'i�y � <br />CITY2IP PHONE <br />kVA�'t� -�S,3c13•8/SZ� <br />CONTRACT PRICE OF'NORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling unils <br />Forced air systems <br />Gas V�p�ng <br />Water heater <br />Gas freplace <br />Gas range <br />Clothes dryer <br />Renge hood <br />Ezhausl lan <br />Heat pump <br />Unit heale� <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL 9ALE9 TA% .ODE IS ]106 <br />I hereby ceritlly tcat I have read and e.amined Ihis applicalion antl know Ihe same �o be Irue and correct. All prowsions ot laws and <br />ordinaces guverning ihis type of ti�ork vnll be compliel wiU� whether specifed herein nr not. The grenling ol a pe/mll does nM presume <br />to grve authonly ro v�olale or cancel the provision ol eny other state or local law regulat�ng construdion or the perlormence of <br />..ons!rudion That I am aulhorized by Ihe owner of Ihis property to perform the work for which applicaUon is mede and I comply vnth the <br />---__. --_J <br />