Laserfiche WebLink
F�:RMIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> ,�, ; <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.# ERMI7 N <br /> 30 �'� CflsiN � 21� IDUS � �� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> �ESC. <br /> ONMER ADDRESS CITY/ZIP PHONE <br /> �S �;�I�ES`Civ1E/.5�5� LLG, <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> ��.�o� � E-MAIL __ <br /> �A ���� c��k, �� � 3� �~ S+ s.w, ���.�, uA 98�8 <br /> CONTR.LICENSE N <br /> h.��A uE�c ��P1.3 <br /> USE OF BUILDING I HEAT SOURCE CONTRAC7 PRICE OF WORK <br /> ���L��,�1� _Eleclric _Ges_Other � G �.p <br /> WORK DE3CRIPTION i` � <br /> (�I u,�, I�;„� � ���-k -��- . <br /> PLUMBING MECHANICAI <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilel _ A/C—airhendlingunits <br /> Bethtub Forced eir syslems <br /> � Levatory(wash basin) Gas piping <br /> Shower Waler healer <br /> � Kitchen sink&d�sposal _ Gas fireplace <br /> � Dishwasher _ Gas range <br /> Clothes washer Clothes dryer <br /> � Water healer _ Range hood <br /> � Sink (servicelbar/mop/etc.) _ Exhaust fan <br /> � Dackflow preventer _ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> � Floor drain _ Relrigeration <br /> � Grease irap _ Woodstove <br /> Root drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALE9 TA%CODE IS J106 <br /> I hereby ceAify Ihat I have read arA examined this application end know Ihe same lo he true and correcl. All provisions of lawa end <br /> ordinances goveming this lype of work will be complied with whether specified herein or nol. 7he grenting ol e permil doas nol presume <br /> lo give aulhorily to vidale or cancel Ihe provision ol ai�y olher state or local law regulating construclion or Ihe peAormance ol <br /> construction. That I am authorized by the owner of this propeAy to peAorm the work(or which appllcation is made and I comply wilh Ihe <br /> Stale Contradus,L.awI 18.27 RCW and 296.200 WAC. /1 <br /> �`f�-i 1 �t���I.L�L�.� -. . �/ �� �-O f iJ <br /> Signatu of wne /ContraclodAulhorized Agent ate <br />