Laserfiche WebLink
' � PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDP.R 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 -DEBIT 8�CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> SSC'S .�✓er rc � ��3932Dp/D 00 -j� <br /> LEGAL LOTNO. BLOCK TRACT <br /> oESC. 9�hTT.4��}�,b <br /> OWNER ADDRESS CITY2IP PHONE <br /> 5{�Veh �� Kl�h Po �ok 3��0 �vv��f��,� 9810� 4.25�7�3•1s5o <br /> TENANT NAME �I I CONiACT FOR PERMIT PHONE <br /> ,�nferprise Res� /1�ar� �SKae�f�¢,' �,25:551•03� <br /> CONT TOR � � ADDRESS CITY2IP PHONE <br /> �er rw�� (�ea�h h_C. q <br /> CONTR.LICENSE/ PGKV(T�CI�7DK-' /�/�% S `W� S�• ���' �O�JTi 4�S/�SI'O�ICJ <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �'fIG� ��ufo ��-�S�n ' tiectric _Gas_Other � g,zQ�= <br /> WORK DESCRIPTION /��// �� ��' /,S y�/ � � �K�� R� Q55�(4� /� ql� <br /> I �! t Tc e�� <br /> �Iisf�pi bu��or,. Ve`t e�haus�- -+� (� b o�I-C�GS�. <br /> ��l to�' .�f�erPri e I �a� �u-hf 'a �o✓ec�e�r(-. <br /> PLUMBING MErHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF:�IXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> _ Balh7ub _� Forcedairsystems <br /> Lavatory(w��h basin) Gas piping <br /> Shower Water heater <br /> Y Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> _ Sink(service/badmop/etc.) Exhaust fan <br /> Backflowprevenler � Heatpump <br /> Urinal Unit healer <br /> i Drinking Fountain Boiler <br /> Floor drein Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> 1 hereby ceritify thal I have read and examined ihis appliration and know Ihe same to be true and correct. All provisions of laws and <br /> ordinaces goveming this type of viork will be complied with whether specified herein ar not.The granting of a pertnit does not presume <br /> to give authority lo violate or cancel the provision of any other stale or local law regulating wnstruction or the performance of <br /> construction.That I am authorized by the owner of lhis property ro pedortn the work(or which applicatiun is made and I comply with the <br /> State Conlractore Law 1827 RCW and 2�p 6,.200 WAC. <br /> ��a� ��u;�,/i lv-�S-o� <br /> &ignature of rJwner,Coniractor/Authonzed geet Date <br /> �IL <br />