Laserfiche WebLink
� P�RMIT APPLICATIC.�� <br />CITY OF EVERETT PERMIT SCRVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPI ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CRELIT CARDS ARE NOT ACCEPTED <br />' SITE AD�RESS �� � PARCEL TAX I.D. # P MIT p <br />, _ /� /!,� ) S L �-' d C7 S3 _Y-c1�c, Dyy - c7 � __� ���(�� I <br />� LGGAL LOT NO. BLOCK TRACT --- <br />�,Es�.f '' �I fy � .., ,�: ; . . <. % � <br />.' Ci- �ul� J <br />_ _�L�� /�(�a��S ?n�_ D dc: �/fi �C�.���--1.�L=.;6�� <br />T[NANTNAME CONTACTFORPERMIT PNONE <br />CONTRACTOR y,� <br />������cf.) ('J <br />CONTR. GCENSE N ' <br />�� i �.��! <br />USE OF BUILDING <br />�� � � —�l <br />I WORK DESCRIPTION <br />� <br />I NO. <br />; f,.��l r-.-�L <br />ADDRESS <br />CITVIZIP PHONE <br />J�4 �� <br />HEAT SOURC'c I CONTRACT PRICE OF WORK <br />Gectrir, Gas Other � - <br />— �- ----- �S�G� CJ <br />S �� �� '� , l� /� f-1 � . l <br />r'� _• . <br />PLUMBING j MECHANICAL <br />TYPE OF FIXTURE OR I�EM <br />Ti��l�!� <br />f3athW6 <br />La�atory �wash 6asin) <br />Showm <br />Kdchen smA 8 disposal <br />Uisl�washcr <br />Clothes wntiher <br />Lnundry tray <br />Sink (servicel6arlmoplelc.) <br />Dackllow prevenler <br />Urinal <br />Druikiny Fountain <br />Flaor drain <br />Grease trap <br />Rool drains <br />Olher <br />NO. I TVPE OF FIXTURE UR ITEM <br />/- <br />_1_. <br />- �- <br />-f— <br />I NC - air handGni� unils <br />i Forced air systems <br />�� Gas piping <br />Wali�r hoatv:r <br />Gas lireplaca <br />Gas ranyo <br />Clolhes Jryer <br />Range hood <br />Exhaust fnn <br />Heat pump <br />Unil heater <br />�oilcr <br />Refngeration <br />Woodstove <br />CITY OF EVERETT LOCAL SALES TA% CODE IS ]705 <br />t hereby ceriLly Ihat I have read and eAamineA lhis application anA hnuw the same to be irue and correcl. All provisions ol laws and <br />' ��rdi�ar.es yoverning ihis lype ol work will ba compli�d wilh whether specilied herein or noL The c�rantine� of a permit does nol presume <br />W give aitlho�ity W viol.ite or r.ancel Iho provision nl ony olher stalo or local law regulating construclion or the performance of <br />� ��.unstrw;6on. That I am authonzed by Ihu owimr ul Ihis property lo perlurm lho work fur which applicalion is mado and I comply with Ih� <br />til�lo Coniro�,tors Law 1N.:7 RCW aiyt 298200 WAC. • <br />� %�.�����c��-� 5 /2_ <br />;.i�;n;�lyre JOwn ,ontractorl ulhory. gr,nl <br />�/U <br />