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 - v ww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />-o - 6ra2iwo, Ev>°rei�- <br />PARCEL TAX I.D. # <br />4371-y, a-or7- <br />PERMIT # <br />BOW 1002 <br />LEGAL] LOT NO. <br />BLOCK <br />TRACT OR SUBDIVISION # <br />Desc. 17 I$ I ao <br />yao-poo <br />'V 1'� l O <br />OWNER ADDRESS CITY/ZIP PHONE <br />Ake l fi I'la I.F0,30 Arwd a c/ !�7Vek-e-ff MXI <br />TENANT NAME <br />FOR P MIT PHONE-A7,5 - 773-e0 <br />CONTACT <br />Ve— w-f IIII CLVVIS E-/MAILCJJOC lti II IRl71 r?YliCASI• <br />CITY/ZIP <br />CONTRACTOR ('l _ G',1 , G/1 TC�i'GSCsCS DHUNt <br />(� / <br />CO 2(�T PM P�2S <br />CONTR. LICENSE # IP WA f r�(q'2 <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />I <br />_Electric _Gas Other <br />WORK DESCRIPT:ONT <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ <br />A/C — air handling units <br />_ <br />Bathtub <br />Forced air systems <br />_ <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />_ <br />Shower <br />__ <br />Water heater <br />_ <br />Kitchen sink & disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />Water healer <br />Range hood <br />_ <br />Sink (service/bar/mop/etc.) <br />_ <br />Exhaust fan <br />Backflow preventer <br />_ <br />Heat pump <br />_ <br />Urinal <br />Unit heater <br />_ <br />Drinking Fountain <br />_ <br />Boiler <br />_ <br />Floor drain <br />_ <br />Refrigeration <br />_ <br />Grease trap <br />_ <br />Woodstove <br />_ <br />_ <br />Roof drains <br />Other <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cedfify that I have read and examined 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 cancal the provision of any other slate or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />Slate go-nrra—ctofs Law 18.27 RCW and 296.200 WAC. <br />q1 <br />`-[ 1a2/CJO y <br />Sig ure of Owner/Contractor/Authorized Agent Date <br />I/ Z <br />