Laserfiche WebLink
P�r2MIT APPLICATIG�� <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 8 CREDIT CARDS ARE NOT ACCEPTED I <br /> SITE ADDRESS -�` PARCEL TAX I.D.# PERMIT# <br /> ���-_, ; ,:; �z�,�./���:< <-- (�oSQ r -�37� <br /> LEGA LOT NO. CK TRACT <br /> DESC. <br /> OWNER A�ORESS CITY2IP PHONE <br /> � ��,.�-" t� l� �n 7C'��S f.�Sc..�1�.�-c��� � �—��,..-�{' ^ _c / 1 YJ_!� � -) -C�� <br /> TENANT NAME I CONTACT FOR PERMI �f PNONE��— <br /> �,c� C4�✓ ��L���-L_ ��h �L 1�_ 1 ac(�l�C-��-C/�3� <br /> CONTRA TOR A�DRESS CITY/ZIP PHONE <br /> CONTR.LICENSE# <br /> USE OF Bi11LDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION �I�r �/�c,._ �� <br /> � <br /> jL �/ �,1a,.. 1 �p� r«?- �� �°`"^'' °'.5 <br /> ty �� -��i`.s.�✓� 7� <br /> C c4-� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR IiEM NO. TYPE OF;';(1'URE OR ITEM <br /> _ Toilet A/C-air handling units <br /> _ Bathtub Forced air systems <br /> _ Lavatory(wash basin} Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> _ Dishwasher Gas renge <br /> _ Clothes washer Clothes drye <br /> _ Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> _ Backflow preventer Heat oump <br /> Unnal Unit heeter <br /> Drinking Fountain Boiler <br /> I = Floor drain = Reirigeretion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> I <br /> ! CITY OF EVHRETT LOCAL SALES SAX CODE IS]105 <br /> � I hereby ceritify that I have read and examined lhis application and know lhe same to be true and wrrect. All provisions of laws and <br /> ' ordinaces goveming this type of work will be complied with whether specified herein or noL The grenting of a permit does not presume I <br /> to give authonty to violate or cancel the provision of any other stale or local law regulating constructlon or tha performance of <br /> construction. That I am autli'orized by the owner of this property to perform the work for which application ir,matle and I comply with the <br /> State Conlrectors Law 18.27 RC'✓J aRd 296.200 WAC. � <br /> , / � <br /> i.::f� � <br /> �= / ✓ /; r9�^� �� <br /> Sigrrd[ure of. wnenGontracior/Authonzed Agent Date Z <br />