Laserfiche WebLink
PERMIT APPLICATION <br />PERMIT APPLICATION <br />_ <br />EVERETT SERVICES <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />.x�..ee.o-�v m�xv�.een-.....a.im.e <br />425-257-8810 —FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5 <br />SITE ADDRESSULk�-� PARCEL TAX I.D. k PERMIT k <br />— <br />LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br />DESC. <br />OWNER ADDRESS CITY/ZIP PHONE <br />Zanr l—LC t>� MN(�Iti)� Llelv��lJ� ,t,ll�CONTRACTOR ScJlLl>', <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />EMAIL t <br />Tee e i �:,�x <br />IIJG I b r. 6 ,vl (mil u&d�-I cJ� /.J E— s <br />y <br />CONTR. LICENSE p C,rj hl ` 4f2y5 (%((� (,Jh1— r(�j�7 1 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />_Electric Gas _Other <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />A/C -air handling units <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />Gas piping <br />_ <br />_ <br />Shower <br />Kitchen sink &disposal <br />Water heater <br />Gas fireplace <br />Gas range \�\ <br />_ <br />Dishwasher <br />� "�� <br />Clothes washer <br />Clothes dryer <br />_ <br />Water heater <br />Range hood _; <br />Sink (service/barlmop/etc.) <br />Exhaust fan <br />_ <br />6ackllow preventer <br />Heat pump <br />�G� <br />_ <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />Boiler <br />_ <br />Floor drain <br />ne. <br />Refrigeration <br />_ <br />Grease trap <br />Woodstovo <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LJ^AI. SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and er3mined 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 does not presume <br />to give authority to violate or cancel the provision of any other stale or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this prope <br />SignatureL.�. wF�. a., mT �� <br />rFy <br />t <br />