Laserfiche WebLink
P�tR�V11T APPLICA�I�N � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> I SITE AUDRESS PARCEL TAX I.D.# PERMIT# <br /> � 3a3 u� �. �..P� - �.��� > � ,, � - �3.. - � � ��. <_'7D4-2Z _ <br /> LEGAL LOTNO. BLOCK TRACT — — <br /> nEsc. Y <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �'� � 1' <br /> {�`�c��L�i�-l:�\��-'��1�i1LISr':, �-�.� (1l'�'�� -��JS ����z`>r 17:y'�tr.���`'�Yi:>i� _ �l�-J-��13-1��'+'a <br /> TENANT NAME CONiACT FOR PERMIT PHONE <br /> L.ya 1-t ; ��t..i �ix� '�<<�, � � ��� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> Nc\�..�\:_ � �\'l< �`)�'_15r��,L.L\.. 1�7b':�?.-'�.it"��o�:'�F ���,c'�"��i�cl��1�LU�- H�� � 'l43 <br /> CONTR.LICENSE M �Z/23 /�„\ � 1 ��� <br /> /fi`( � <br /> USE OF BUILDING HEAT SO CE CONTRACT PRICE OF WORK <br /> �:;� i u.��c �- r„p.,`�` �t�'1%�.4��:�' _Eluclnc _�Gas__Olher <br /> ) <br /> WORK UESCRIPTION <br /> �-' e �..', c• "k�l1r..�-: y-�-cTvti ..(' ._. :y��.�.�tt. �-c,..�w...L.1 J1.��1.���.�,,��- <br /> u <br /> �J�..a.�.�� �1� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> � Toilet NC-air handliny units <br /> _�_ �;dhWb _1_ Forcod air sys�ems <br /> � Lavalory(wash basin) _� Gas piping <br /> Shower Walor heater <br /> � J_ Kilchen sink 8 dispos.d _ I Gas lireplace <br /> _� Dishwashcr � Gasrango <br /> _J_ Clothes washor _� Clolhes dryor <br /> � Waler healer _� Ranc�o hoad �h�_a� <br /> Sink(:crvicclbadmuplutc.) S Ezhausl fan <br /> Bar.kllow prevoNcr _ Hcal pump <br /> Urinal Unit haator <br /> Drinkinc� Founlain Boilor <br /> Floordrain _ Rofri{�eralion <br /> Groaso Imp _ Woodslava �0�1�� <br /> -- Roo�drains Olhor � <br /> � Other--- _ -- _ — n.p} <br /> � <br /> k�;�- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I I hereby cerilily Ihal I havo read and uxamined lh;s applicalion and know lhe samo lo bo lruo and wrrecl. All provisions of laws and <br /> ordin,ices governiny Ihis lyp�ol work will bo complied wilh wh�:lher specdied horein or not.The grentiny of a pennil does nol presumo <br /> tu�i�o authorily lo violcde or cancel Ihe provision ol any o�her��.talo or local law ro�ulaling cons�ruction or lho periormanca ol <br /> conslruclion. That I am aulhorizud by lho owner ol th�::property to porlorm tho work for which applicalion is mado and I comply wilh tha <br /> Slatc Cuntr.icturs Law 1H.27 RCW anJ 29U.200 WAC. <br /> � � <br /> y . ; `_ -.�li <br /> Si�caWre ol OwnedConlraclodA��h ized Agen� a�o <br />