Laserfiche WebLink
SITE ADDRESS <br />1 �� <br />LFGAL LOT N0. <br />DESC. <br />� � �t-1 <br />M� � � <br />TENANTNAME <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8057 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM 70 4 PM <br />PARCEL TAX I.D. # <br />% t.`-��t�✓r�� OI00 (I Un9cl <br />BLOCK TRACT OR SUUDIVISION N <br />PERMIT li <br />I I ADDRESS CITYIZIP PHONE � lJC '�l kI `/S J� <br />�ON J�l I'fl 1'1� r <br />C' v�� f=_ � u`73c� CcJ�lc� ���J ��c1c��cn�r�S�� CJa. `78��%,L __ i <br />CONTACTFORPERMIT PHONE'1(�6-'!7%-SSiO <br />I I <br />r <br />F- 4'�IC L� V c iC� E•MAIL 1C�+1c�{1S[rf{iH.�:��SN.�c�' <br />�—�cm�:r:R FIIACI �' J <br />�...,IiSI C-i`hy[t���/1'y <br />J <br />CONTR. LICENSE N <br />IG rVl<C'c_ i��l�rl.'- �: <br />USE OF BUILDING <br />- � <br />`_) f - � <br />WORK OESCRIPTION <br />� /1! �j��h �lyC/ `a—�. <br />PLUMDING <br />NO. I TYPE Of FIXTUR[ OR IT[M <br />Toilcl ---- ---� ��� <br />--- Balhtub <br />Lavalory (wash basin) <br />Shower <br />Kitchon sink & disposal <br />D�SI1 N85IICf <br />Clolhns washer <br />Water healor <br />Sink (servicclbarlmop/cic.) <br />fin,kflow prevenlcr <br />Urinal <br />Drinking Foun�aln <br />Floor drain <br />Grease Irap <br />f2oo1 drains <br />Olher <br />,2e?3��J�r��ci �'P.S:�ol,c:Hisk W•:_�781��6 <br />HEATSOURCE <br />� [Icdric __ Gas _ Olher <br />CONTRACT PRICE OF WORK <br />NO. I TYPE OF FI%TURE OR ITEM <br />NC - air hnndling units <br />Forced air syslems <br />Gas pipinc� <br />Water heater <br />Gas hreplace <br />Gas range <br />Clothes dryer <br />Ran9c hood <br />Exhaustfan <br />Heal pump <br />Unit heater <br />8oiler <br />Relri�e•alion <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I he� '�y cerilily that I havo reaA and oxaminod Ihis applicalion and hnow lhn samo to bo �ruo and wrrecL All provlsions of laws and <br />ordinaces c�oveming Ihis typo ol work will be cempliod H dh whether spocified heroin or not. The grantin� ol a permit does nol presume <br />to grve aulhorily lo violalo or cancol tho provision of eny olhor state or local law rogulalinc� construclion or the peAormanco 01 <br />conslruction. That I am aulhorized by the uwner ol this property lo perlorm tho work for which application is made and I comply wdh lhe <br />Slalc Conira�tors Law 18.27 RCW and 296.2U0 WAC. . <br />i ,' <br />� �.� .� ��'_�t�� E -z3--�� �� 1 <br />Signaluro of OwnedCoNraclodAulhorized Agonl Da�e �� ] <br />