Laserfiche WebLink
PERMIT APPLICATION P�V 707-Oz <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 <br />SITE ADDRESS _ PARCEL TAX I.D. # PERMIT # <br />LEGALI LOT NO.. I BLOCK I TRACT <br />DESC. r <br />TENANT NAME I CONTACT FOR PERMIT PHONE <br />L� y-'kf4ovey kuodh&Lcj Y25 -41,53 Iy7b Cx+-( _.3 <br />CONTRACTOR _ADDRESS T- CITY/ZIP r PHONE <br />CH Ull' $T' VE, aSV1�Lld'-1 <br />CONTR. LICENSE # �J p r Jai C <br />L9h �1 .r -7()Y 2 <br />USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br />WORK <br />NO. I TYPE OF FIXTURE OR ITEM <br />Bathtub IV <br />Lavatory (wash basin) j% f 1 <br />Showed <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backnow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />Electric J.Gas _ Other I De <br />C <br />NO. I TYPE OF FIXTURE OR ITEM <br />C'l A/C — air handling units <br />T Forced air systems <br />Gas piping <br />�— Water heater <br />Gas fireplace <br />/ Gas range <br />Clothes dryer <br />Range hood <br />A Exhaust fan <br />_0 Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does 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 author <br />ized by the owner of this property to perform <br />�the <br />jwork for which application is made and 1 comply with the <br />State Contractors <br />and 296.200 WAC. 7// U/ CJ? <br />