Laserfiche WebLink
PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www,everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />SI i E ADDRESS PARCEL TAX I.D. # PERMIT # <br />Si, SF. ooyoao -csov- -oo Casp �(�3 <br />LEGAL LOT NO. BLOCK TRACT p / <br />DESC. 15 (/ , (Af0 1QC.IQ (�rDUE'i <br />OWNER F✓ <br />ADDRESS <br />''K`/ im p CITY/ZIP PHONE <br />TENANT NAMEJnngq 3o x %d rid SI. Sr— arC4l gra03 1 CONTACT FOR PERMIT PHONE <br />ktm Bjnnae M ke �arsra 4Zr - 3A7- -IS35 <br />CONTRACTnR I-o.r5k 1 Co ni f ADDRESS n CITY/ZIP PHONE <br />Cr CONTR. LICENSE <br />A��� H t b� �e� rTA 9jd5e 3e,7' a53S <br />LAI2Sk'C # I010N I Zf��v�07 <br />USE OF BUILDING I HEAT SOURCE CONTRACT PRICE OF WORK <br />�pS�•,ti�'n ( —%/j Electric _Gas Other 15 1$50, <br />WORK DESCRIPTION <br />/ifew Wtndewr �',Ichte Sink / L1J 5'�k/ p/i�Wx�l><.� <br />NO. I TYPE OF FIXTURE OR ITEM <br />_ Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />_ Clothes washer <br />_ Laundry tray <br />Sink (service/bar/mop/etc.) <br />_ Backf]ow preveriler <br />_ Urinal <br />_ Drinking Fountaw <br />_ Floor drain <br />_ Grease trap <br />_ Roof drains <br />Other <br />MECHANICAL <br />NO. I TYPE OF FIXTURF. OR ITEM <br />All: — air handling units <br />Forced air systems <br />_ Gas piping <br />_ Water heater <br />_Gas fireplace <br />_ Gas range <br />_ Clothes dryer <br />_ Range hood <br />_ Exhaustfan <br />_ Heat pump <br />_ Unit healer <br />_ Boiler <br />_ Refrigeration <br />_ Woodstove <br />Other. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herehy ceritity that I have read and examined this application and kno•v the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. Thn granting of a permit does not presume <br />to give authority to violate or cancel the provision of ary other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 10.27 RCW and 296.200 WAC. <br />;20-Js <br />