Laserfiche WebLink
tERMIT APPLICA°PiON <br /> CITY OF EVERETT PERMIT SERVICES <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 - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# I PERMIT# <br /> /// ��7h , ST s)Er 3 /- 90 S 300 'GO U 1 yd_oi- <br /> LEGAL] LOT NO. BLOCK TRACT <br /> DESC.r a 3 � -, ' <br /> OWNER JR ADDRESS ~� f CITY/ZIP PHONE <br /> if¢L9 /412,‘ 6z-ea LLC .�.eaK 9/0 9fz3e- 34(.40-35/-41tgeg4 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> dam- 1"7 340 ? ? -/?i'3 <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> 4¢0 ;off 6,eaLc <br /> CON R.LICENSE# <br /> 44'k6Zo iz 4e /7,48: yA) -, � 9$ 't 3‘a2-71/- z/eoy <br /> USE OF BUILDING �QpHEAT SOURCE CONTRACT PRICE OF WORK <br /> 4t1"I'5 �2 _Electric )(Gas_Other / O G <br /> WORK DE CRIPTION Pi 4)463//'& 3% t1IV p OO A k c— <br /> ) <br /> ) � a liVcApg7—£. SLI. iLd -IA/Sqlfaeo A/ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> •• = NC—air handling units <br /> -° - -- --1 Fereed-aire <br /> systnts <br /> • <br /> Shower <br /> - • . .' ..-_ cplccc <br /> —/--Glethes--washer • .-.Laundry tray -Range-hood <br /> Sink(service/bar/mop/etc.) ust4arr <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler - <br /> -/--- toor-draiH <br /> Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br /> ordinaces 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 cancel the provision of any other state 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 /> State Co�ntr •.rs Law 18.27 RC • 296.200 WAC. <br /> if <br /> Signature of Owner/Co tractor/Authorized Agent Date <br />