Laserfiche WebLink
SITE ADDRESS <br />� "l ��j� e ���i <br />LEGAL LOT N0. <br />DESC. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, �VA 98201 <br />425•257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />PARCEL Ti.X I.D. p <br />5' (`. 3o.26c� ioi�,,. <br />BLOCK TRACT OR SU9DIVISION tt <br />� <br />A <br />rf ` �) � 1 1 �`� 1�'' 1 I•-t �a �7 ei y� <br />M11 ��.\ l. LL 1. r �- l r 1V<-ll:q li � <br />TENANTNAME CONTACTFORPERMIT PHONE>S)p7•�yY�'7 <br />� a., e %� ,.�..,; <br />'�-�d�l �f/(Kti- E•MAILrtdn !+ hr. .:v.r <br />%��.�1 C'y��J:�.�utirn..% <br />CONTR. LICENSE p -rR y� D$ H �j I D�j <br />USG OF BUILOING <br />WORK DESCRIPTION <br />�iC St.C!",ir1. <br />NO. I TVPE OF FI%TURE OR ITEM <br />Toilet <br />[3,ilhlub <br />Lavritory (wash basm) <br />Shower <br />Kilchen sinh 8 dis��sal <br />Disliwaslier <br />CIOIi1C5 W:ItiI1Cf <br />Walen c�atm <br />Slnk (sorvicc/bm/muplcic.) <br />Bt�ckllow preventur <br />Urinal <br />Drinking Founlain <br />Floor drain <br />Grcaso trap <br />Root drains <br />Olher -- <br />S�'�7 S.ih..+.�p�u.,� <br />-,�// Cp <br />HEAT SOURCE <br />_ Eloclric __ Gas _ Olhcr <br />�w�n.n.r 7)3 ?'Xil ff;X/ <br />f,�' /G�" <br />�r111 fJC�M. �fZC�+IqC! i�rl�� <br />CONT!tACT PRICE OF WORK <br />C'_ J (_. � " ` <br />N0. I TYPE OF FIXTURE OR ITEM <br />AIC -- air handlin� unils <br />Forcod air systems <br />Gas piping <br />Water healer <br />Gas lireplace <br />Gas rango <br />_ Clolhes dryar <br />Rango hond <br />Exhausllan <br />Hcat pump <br />Unit hoater <br />Boilor <br />Rclrigeration <br />Woodstovo <br />Olhor <br />CITV OF EVERETf LOCAL SALES TA% CODE IS J705 <br />I hernby centdy Ihal I hivu iead :�nA examined ihis applicaliun and know tho same to bo lrue and correct. All prov�sions ol laws and <br />ordinace� qovomin� Ih�s type of worA will b� comphed wilh whelher speciliud herein or noL Tho grantinc� of a permit Aoes nol presumo <br />lo givo aulliority lo viutrde or cancul Ihe provisiun ol any olher stale or local law «•yulalin� conslruction or lhe peAortnancp of <br />conslruclion. That I am authonzed by lhe owner ol Ihis property lo perlorm Ihe work lor which application Is mado and I comply with lha <br />Stalc C�ntractors Law 1027 RCW and Z�J6.200 WAC. <br />I�Z <br />