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 — t Ilww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM I - <br />SITE ADDRESS I PARCEL TAX I.D. Il PERIAT 9 <br />Paz 1ZucKE1L Ave ' oS Zzeo23oo5soZ ?1 01 <br />tFG Lin ffo. OLDat rnAOT tin suelavf9oN e <br />oEsc. � — <br />OWNER-- <br />f/�� L e LE 77 w� has =3s'S -ys <br />T84ANT NArrE CONTACT FOR PEFMT PHONE ya s 3 S 3 <br />�3-/4-- lob. <br />caNTR.LICENSE a �lcn.�JS.Zo6� I /19iCC C�CEEJ��uvA <br />usE of BUILDING NEAT SOURCE CONTRACT PRICE OF WORK <br />Electric _ Gas _ Other 70 <br />WORK DESCRwTION uJ A L-L S r (G A./ <br />PLUMBING <br />MECHANICAL <br />No. TYPE OF RXTURE OR 17EY <br />No. TYPE OF F0r11RE OR REII <br />A/C - airhardlirWvnits <br />Total <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink R disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (servicelbar/maMetc.) <br />Badtlbw preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Root drains <br />Otter_.-- -- <br />— <br />— <br />— <br />_ <br />— <br />— <br />— <br />— <br />— <br />— <br />--- <br />---- <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas rReaace <br />Gas range <br />Clothes dryer <br />RarW hood <br />Edtaust tan <br />Heat pump <br />Unit heater <br />Boller <br />Refrigeration <br />WOedisleve <br />Clew----- - ---- <br />------ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />CfTT OF EVERETT LOCAL SALES TAR CODE IS 3105 <br />I hereby cernity, that I have read and examined this application and know the same to be true and correct. All Provisions of lews and <br />ordinates governing this type of work be complied with whether specnhed herein or net. The granting of a permit does not presume <br />to give authority to violate or cancel thee provisbn of any other state or local law regulating oorlstrticUort or � Performance y � � <br />construction. That I am authorized by the owner of this property to perform fhe wore for wllirh application <br />State Contractors Law 18.27 RLW and 296.2Dg WAC. <br />5gnature of owner/Contraclor/Au t to r/ <br />