Laserfiche WebLink
� <br />�EkMIT AP'PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257•8857 — www.everet!�va.org • <br />�l�/ APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS PARCEL TAX I.D. p PERMIT # _ <br />�.��Xx �r,r',sf•sE-h�'�f'C�l �78�,�3 �ns�y��nozcizoo �SD9-/� <br />LOTNO. BLOCK TRACT <br />/.z �� � n-oc'� �'in'EHUi;sT oiv.4 <br />�y,�i-��aN ��r�vER�i�s �ti% <br />TENANT NAME <br />CONTRACTOR <br />M4Nq N f�'��'�T/ES /NC <br />CONTR. LICENSE p <br />MA/>AN P/959 �'K <br />USE OF BUILDING <br />sFR <br />WORK DESCRIPTION <br />�X0 6 a� nd sT SN.� -f,�/f�Z, d'�A 980.�G a0G G/,2 • l 18 <br />CONTACT FOR PERMI7 PHONE <br />k,�y M�H,�N �� .��z -�,g� <br />ADDRESS CITY2IP PHONE <br />7s��6 �3�n>s�sid-/�C'/EJ�►�A980.� �06-�/.�-/�t�l <br />HEATSOU�CE <br />Eloclric iC Gas _ Olhor <br />c�msT�'u�r NCW l�oc �E <br />NO. I TYPE OF FIXTURE OR ITEM <br />Toilot <br />Balhtub <br />Lavatary (wash basin) <br />Showur <br />Kilchon sink 8 dis�iosal <br />Dishwasher <br />Clolhes washor <br />Laundry tray <br />Sink (sorvico/bar/mop/alc.) <br />Packllow provontor <br />Urinal <br />Drii�A�ng Fountain <br />Floor drain <br />Groaso lrep <br />Itool drains <br />Olher <br />CONTRACT PRICE OF WORK <br />'� /3C, n0 0 <br />�C/�� ��� — <br />NO. I TYPE OF FIXTURE UR ITEM <br />AIC - air handling units <br />T Forced air systems <br />Gas piping <br />Waler hoater <br />Gas fireplace <br />Gas range <br />� Clolhos dryor <br />Ranga hood <br />Exhausl lan <br />Heat pump <br />Unit hoater <br />Boilnr <br />Rotrigeration <br />Woodstove <br />Olhet <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I haroby cerilily that I havo read and oxamined Ihis applicalion and know lho same to be true and correcl. All provislons af 12ws and <br />ordinacos govoming this typo of work wlll be complied wilh whother spocified hereln or not. The granling of a permil does not presume <br />to give authority lo violale ar cancel lhe provislon of any olher slale or local law regulating conslruction or tho performance of <br />construclion. That I am authorized by the owner ol ihis property to perlorm Ihe work for which applicalion Is made and I comply wilh thn <br />Slalo Conlractors Law 10.27 RCW and 296.200 WAC. <br />