Laserfiche WebLink
SITE ADDRESS <br />5ci01 Hu <br />LEGALI LOT NO. <br />DESC. <br />HF EY <br />TENANT NAME <br />7,4F 1=1i FI-E ; i <br />CONTR. LICENSE # <br />USE OF BUILDING <br />WORK DESCRIPTION <br />�E✓1eYa}Iov15 <br />Modl}�-1 <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CL-DAR STREET, EVERETT, WA QE?O, <br />425-257-8810 - FAX 425-257-8857 - www.eveiettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />066 0 -01 <br />6--w ri IC - <br />PARCEL TAX I.D. # <br />3 ( ) 0 G <br />TRACTOR SUBDIVISION # <br />LLSr wx LArlo 63. <br />3q o=OY-r <br />CONTACT FOR PERMIT <br />0041n Mn14- <br />HEATSOURCE <br />Electric _ Gas _ Other <br />PERMIT # <br />Q_ <br />PHONE 32.7, -472,6 <br />CIL <br />CONTRACT PRICE OF WORK <br />. 601000 O° F.57. <br />f"1oG:I{�Co-7'lo,f "Ib C%1o�5n, cell,-, wl Ieh$ q�J1 MN1o/- s}f�.'}VrPI <br />a� �5rc ll�t v�e .3 �' 50V�v new <br />Icet11 , „� I1�ti�ItiJ. <br />�`i A,)Vk (7t <br />NO. I TYPE OF FIXTURE OR ITEM <br />Touet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8 disposal <br />ishrrasher <br />Othes washer <br />W ter heater <br />Sin (service/bar/mop/etc.) <br />Back owpreventer <br />r Urinal <br />Ddnkin Fountain <br />T!i: Floor dra <br />_ Grease tra <br />Roof drains <br />Other ENIF A#FF <br />PV Jfre�S 5'-15 Pr"1S !cv Sr - <br />MECHANICAL <br />NO• I TYPE OF FIXTURE OR ITEM <br />A/C - air handling units <br />Forced air systems <br />Gas Diping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Ol I T OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerilify that I have read and examined this application and know 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. The granting of a permit c'Oes not presume <br />to give authority to violate or cancel the provision Of any 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 Kith the <br />Slate Contractors Law <br />18.27 *AY ,nA jgR 200 WAC. A <br />91 `—� t 71 <br />D7 <br />IA <br />l <br />