Laserfiche WebLink
' PERMIT APPLICATIt�N <br />'i CITY OF EVFRETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982U1 <br />I 425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� � j��D q <br />i SITE ADORESS <br />. i�� �"!Sth SI' SW, F.Vk.?ET:. wA <br />� LEGAL LOT N0. BLOCK <br />� DESC SPF: Ai'::ACHF.D <br />I 'l`: I'H �:' CF.`JTEP. LLC <br />; TENANT NAME <br />�� WF;.:.f • n. . .'4A::"F:�i":UE19�7 <br />CONTRACTOR <br />. ��, "r'�NSTRUCTION <br />i CONTR.LICENSE/ Gr7ACG••JB-095 <br />PARCEL TAX I.�. 11 PERMIT # <br />. .�:a:� ,�:tan:��� -:eE: nr:r,cx[tn� :�)�� ) � '�� <br />TRAG7 <br />. ,. .� . ;�SI':i :;TEt:'r�l' <br />I CONTACT FOR PERMIT <br />CITYILP PHONE <br />SHOBB!,:N6 '".73 <br />i{.AFSI,1: C}IIRSTF.lISF.N / A9i.i{]TE:": <br />ADDRESS <br />�� .. .. :'I ...FL}.': <br />;di�fAi <br />SIiCFf'I.I`:5; '•.�:3i <br />?no 5�3-:15: <br />PY7'IE <br />205-325-::553 <br />PMONE <br />.-.•�-i33�:1�' <br />USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br />?t;,);IIF;�,..._q I•.;r. �F-:I SFAr.F. W:Tii <br />'( ;;14`_��.00 <br />;.r:: t �!.: . i+� ��.�,r wneeuocse !s- : _ Eiectnc _ Gas _ Other . .-- <br />�, WORK DESCRIPTION - ��-,-i <br />i, .�❑:":F.'".� NI.:N r'.I.-FI�'F ANP{T-il•N"b:lf! N.}:0(:1'::F FI .:F:C��}iF. NEW WSN...k A:II' :Tt�F r:FF.17IN.5. <br />�, NO. I TVPE OF FIXTURE OR I1EM <br />To�let <br />� Bathtub <br />Lavatory (wash bas�n) <br />Shower <br />! Kitchen sink 8 disposal <br />�� Dish�vasher <br />Clotl�es washer <br />� Laundry tray <br />` Sink (servicelbadmopletc � <br />' �ackflow preventer <br />Urinal <br />Unnkuy Fountoin <br />� Floor tlra�n <br />� Greaselrap <br />� Roof drains <br />Other <br />CITV OF EVERETT LOCAL SA <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — av handlmg units <br />=orced air systems <br />Gas piping <br />Water heater <br />Gas hreplace <br />��as range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Urnt heater <br />i _ [loJer <br />Retngeration <br />Woodstove <br />Othei <br />LES TA7( CODE IS J705 <br />I hereby wn61y that I have read and examined fhis appbcation and know ihe same to be true and mrted Ai� ,; ovisions ol laws and I <br />�, ordinaces governmg th�s tyDe ol work v.�ll be comphed wiU� whether speufied here�n or not The granting cl a permn does not presume <br />to grve authonty to vioiale or cancei the provision of any other state or bcal law regulahng construction or ihe periormance of � <br />construchon That I am authon�ed by the owner of this property to perlorm the work for wnich appBcalion is made and I comply vnth the <br />'/� <br />