Laserfiche WebLink
i <br /> '� rRMIT APPLICATI� .J � <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 /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDR PARCEL TAX I.D.A PERM17#. <br /> / � �` � <br /> UG . P _lC� -� _ '�/ % , <br /> LEGA LOT NO. BLOCK TAACT OH SUBDIVIS�ON R <br /> DESC. <br /> OWNER ADUHESS CfTYlLP PMONE <br /> .�a�h�r S'•���i]��/�f�w,� ��larl-�;,�c /�G( %>r:.c�.s.y L,1u�,-�- (.,iti2 <br /> TENANTNAMIE CONTACTFORPERMfT PHONE UZar' 2 -/OS'I <br /> L��'tc` � �'l5'yU I C��y M:II� e.Ma� <br /> �A Ti9P—PTfi'I�— <br /> /`'�,��<+' hiccl,c.,�,uJ T..�C._ / 7G.:Z4/S`-�n.�s� lu���CfcelG U2^�-YUG vYVa <br /> CONTR.LICENSEA Su��c lJz-�3 <br /> M //c'nr000��v <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Glectric _Gaz_Other �C C C <br /> WORK)DESCRIPTION <br /> ' Cc4rt{�- �,.� S' -�-'it,-�� i.��c:�t S� �.:lL �� 1....�«1 �:: J�er�l-v� <br /> PL JMBING MECHANICAL <br /> NO. TYPE OF FlXiURE OR ITEM MO. TYPE OF FUCNRE OR REM <br /> Toilet NC-air handling units <br /> Bathtub Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink&disposal _ Gas firoplaco <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> � Waler heater _ Range hood <br /> � Sink(sorvice/barlmop/etc.) _ Exhaust lan <br /> Backflow preventer _ Heat pump <br /> Urinal _ Unit heater <br /> _ Drinking FouMan _ Boiler <br /> Floor drain _ Relrigeration <br /> Grease trap _ Woodstove <br /> Roof drains _ Olher <br /> Olher — <br /> Cf1Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceri6fy Uial I have read and examined this application and know the sarne to be true and conect. Ail provisions of laws and <br /> ordinaces goveming this type ol work will be complied wilh whether specilied herein or not.Tne granting oi a permit does rrot presume <br /> to give authoriry to violale a cancel the provision of any other state a local law regulating construction or the pedamance o( <br /> constructi :That I a� authorized hy the owner ot this properry ro perform the work lor which application is made and I comply with the <br /> State ntraciors La �1$.?,7 RCW and 296200 WAC. <br /> � � ="� y..27 D�J <br /> SigneNre er�� niractor/Aulhorized Agent Date <br />