Laserfiche WebLink
• _ -- _... ------ - -- - - __ 3 - �-� -o(� <br /> PEkMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVERETT, WA 58201 <br /> 425-257-8810 - FAX 425-257-fi857 - www.evereUwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 51TE ADDRESS PARCEL TAX I.D. p ' PERMIT a ^ <br /> 1 � �� <br /> �.. � .) H zC G I <br /> Lli.. �� Cr.� ��c k�., .� � L�. � �If'�fl L V �l,� <br /> " �OIOr/�i <br /> - --------- - - -- — -- - -- -- <br /> ',.L�1AL� LOTNO OLOCH TRACT � <br /> ` _ - <br /> -_ <br /> Eti�' <br /> __" . ..._ ......'_ __.'__--_ _ '_ <br /> u�•:NfR ADDRE55 CITY2IP PlIONE-----. . <br /> Ev�r��l �/uf�s ��c �:3Y� iu „�� .st , K��, iu� Ni ��� �1 (s�aJy�� a`;`,h <br /> ---- — ----- _ . <br /> IENAt�T NAM[ CONTACT FOR PERMIT p�{p��� <br /> � <br /> J < <�. � , h c � S' ��115 ) �/S `7 S '�l�_�� � <br /> —��—--�_'�------ <br /> COIITRACTOR ADDR[SS CITV2IP PHOtIL <br /> l/�S� �f ni�.. l!(; r'S l �`c1 /?��1.`l1 I,�%n.+ iL'E � St� . D <br /> � nNl;: LICEIlSE N � <br /> i�v : � 7 Rc `l5S �2('r l-�rylts ll �,"1 7b":,I �y1'. ) °/.) �, �•7� ; <br /> _ _ _ _.____. ______--_ ___ __' ____.____ .. <br /> USE OF BUILDING HEAT SOURCE I CONTRAC� PRIC[ Of NlnRi�: <br /> /1 i �� �. , �1 � �� l. I 1 � X_ Ploriri�: f;as Olh��r j <br /> . _.. . . _.-___ __. _. . .__.._ ._______- -__ . ... . .._._.__ .__ . _-___ _. _ . .. <br /> WORK DfSCRIPTION <br /> i' <br /> . . � ,, , . � � �,. i � � ��� , . r. . t � , i :i � . , . lr � <br /> . . .. __ . . _.....--------- _-_ .. - - � <br /> PLUMBING MECHANICAL <br /> NO �� TVPE OF fl%TURE OR I1EM NO. TYPF OF FIXTUR[ OR IIC�d <br /> . L _. .__.. _ . . _. .____— __ <br /> _ _ �01��'� ._ NC- airh;tndlinyundr; <br /> _ Balhtuh _ Forced air sy•.t�,nn. <br /> L��vatory (wash hasin) - Gas pipiny <br /> _ Sh�r::ci Water hea�oi <br /> , Kilr.hr,n sink 8 disposal Gas lirepl.i��� <br /> __ Dishwashcr _ Gas ranc�c <br /> ___ Clolhcs wasner _ Clolhcs dr��ei <br /> _, _ V�'ater healcr _ Range hood <br /> S�nk (smvlcolbadmop�etc-) E■hausl lan <br /> _ Oackllow prevr.nler Heal pump <br /> Urinal Und hoater <br /> Dnnking Fountain �oiler <br /> _ fln�irdraln _-- Rofngcra�ion <br /> Groase trap 1Noodslove <br /> Roof drau�s OUmr <br /> Olher — --- - <br /> CITY OF F.VERETi LOCAL SALES TA%CODE IS J705 <br /> � ��6y��,�ibl��Ihat I haw! rend and ex'r.minad�his apulu�.ahon nnd Ano�v the same tu be Iruo and correcl. All provisions ol laws,��, - <br /> �.f�n,n:es i�uticrning Ihis lypo ol worh will be compheA n,i�h whelhcr spur.ihed hermn or nol. Th�:granliny of a p�rmil does no!pie�.:- � <br /> , � �.�rvr. �uthority(o wolati�or cancel Uie provlsion of any othor slale or bcal law regitlaling ronstructiun or Ihr. perlormanr.e of <br /> - nnslruction. That I am.nAhorizetl by lhe ownnr of�his property to perlorm tho r�or1.(nr�tiinch ;ip{�hr.at�nn i� m:i�f�• ;inJ i �.���mi i: :. .� <br /> `��t.nc Contractors Law iB27 RC�V and '196.20U WAC. � <br /> � �� .i .� �i.. ��.tA',E�.� o� > ,�!' C(- <br /> . �. .� � .:-,.�� �`ontmr,lor/�u0iari.-ed Aqent Datr - . <br />