Laserfiche WebLink
� P'E�1MIT APPLICATIO�d � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32Q0 CEDAR STREET, EVERETT, WA 9d201 <br /> 425-257-8810- FAX 425-257-8857- www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FR0�1A 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS q g l t� � PARCEL TAX I.D.p PERMIT# <br /> 2boS - BAKeR Ev�R � TT W�� � _ I ,�oyaq- tx�� <br /> LEGA LOTNO. BLOC� TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP P NE ?�1-p�SD <br /> ` /' 7°�s-) <br /> Jdf1n pqprso � �`U %� i7 - �vcKL� �v,_a��r98z.�/ <br /> TENANT NAME--r CONTACT FOR PERMIT PNONE <br /> <y7s) <br /> � CONTRACTORAL� �KO fLdiC����/C+ �DRESS _ CITY2IP PHONE �33�� 5�/yy <br /> CONTR.LICENSEX �LL/�RV�C971�- 7 / 302 (0 -��-/N" /xU�' U/ L`✓LaR�rf L✓A �J92�y <br /> rj�'1 '�C Ik' Z/D <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas__Other <br /> WORK DESCRIPTIOW ,/Zd v 6r1 /�✓ /Zr 2 - C �u ��v�' W q S�.N S / k d�j'G�Wnf • <br /> ' PLUMBING MECHANICAL <br /> i <br /> NO. IYPE OF FIXTURE OR ITEM N0. 'TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-alr hanaling unils <br /> Bathlub Forced air syslems <br /> Lavalory (wash basin) Gas piping <br /> I _ Shower _ Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> � Clothes washer Clolhes dryer <br /> I Launtlry tray Range hood <br /> ; Sink (servicelbar/mop/etc.) Exhaust lan <br /> ' Backllow preventer Hoat pump <br /> � Urinal Unit heater <br /> . Orinking Fountain Boller <br /> Floor drain Refngeration <br /> Grease trap Woodsrove <br /> = Roof drains � = Other--- I <br /> Olher <br /> _ _ CITY OF EVERETT LOCAL SALES TA%COOE IS 7705 i <br /> i hereby cer�!��v}hat I hav,�read and examined this applicauon and know th�same ro be We and correct. All provisicns of Iaws and <br /> ordinaces go�eming this ty,e of work will be complied wilh whelher specified herein or not.The grenting of a permit does not presume � <br /> to give authonty to violate or cancel the provision of any other state or local law regulatlng constructlon or the performance of ! <br /> ^onstruction. 7hat i am authorized by the owner of thi� property to perform the work for which application �s made and I wmply wilh the I <br /> State Contr�ctors Law 1 27 W antl 296.200 WAC. <br /> '�l-�P � ��a.�- y_i6 -� y, <br /> S�gnature ot wnen ontractonAuthonzed Agent at�e i <br /> -- - — — _' <br />