Laserfiche WebLink
� �.. <br /> : <br /> PERMIT A�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRCET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org -� �,'a7�-/(� <br /> APPLICATIONS ARE ACCFPTED FROM 8 AM TO 4 PM K' U(,�� -DO� <br /> SITE ADDRESS PARCEL TAX I.O.M PERMIT N <br /> 362S 6ro�dw4 sti;kF oow373 � ;9o�oov $ �es�-��4 <br /> LEGAL LOT NO. 8 OCK TRACT OR SUBDIVISION♦ <br /> o�sc 5�� afi[qe <br /> OWNER A�DRE55 CITY/ZIP PHONE <br /> 5{�d�Nrr� Ce.,�er LCG Z717 RxfC�fe/% rA�c E�xretl- YSz� ! <br /> TENANT NAME f:ONTACT FOR PERMIT PHONE ZS j ZM�L6Sq <br /> `�7��'� �GCswrs I JO�✓1 '[C.tK�lv� E-MAIL J�kn!'�S�r.7yll��it' ^'1 <br /> oN R oRsh�t�. F�rG SYSie.+�+s' A DR �106 S't*;A✓�E 7ato...� zS3- 42l-��'�a <br /> 4 84�z 4 <br /> CONTR.UCENSEX SihI rHFS �3LoT <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> j�'1G.rC4nf.s�/�aQs'f��r4o�'�' Eleciric Gas Other �jss�/: OD <br /> WORKUESCRIPTION ^�� -3 $�n�K�u•f qn0/ rC(O�fC tf Sror,i�/Cl� r'J <br /> /� <br /> {o a�ro,--ie da�P n ew w�/J a�d �'e'Gh�f. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. NPE OF FU(TURE OR ITEM I <br /> Toilet A/C—air handling units I <br /> Bathtub Forced air systems <br /> Lavatory(wash hasin) Gas piping <br /> Shower Water heater <br /> Kitchen sink�,disposal Gas fireplace <br /> Dishwasher Gasranqe <br /> Clothes wash¢r Clothes dryer <br /> Water heater Range hood <br /> Sink�servicePoar/mop/etc.) Exhaust fan <br /> [3ackflow preventer Heat pump <br /> Urinal Uni�heate� <br /> brinicmg Fountain Boiler <br /> Floor drein Refngeralion <br /> Grease irap Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVEREtt LOCAL SALES TAX CODE IS J705 <br /> I hereby ceAify that I have mad and ezamined this appGcation and know ihe same to be true and covect. All provisions ol laws and <br /> ordinances governing this type of work will be complied with whelher specifed herein or not The granting of a pertnit does not presume <br /> to givr authonty to violate or cancel Ihe provision of any olher state or local law regulahng construction or�he peAo^ance ol <br /> constructioa That I am auth � d b the owner of this propedy to pertorm the work for which application is matle and I comply with lhe <br /> Stat o tra 2 R an 6 00 WAC. <br /> �Z�io <br /> Sig at re o OwneriComrector/Authonzed Agent Date <br /> I <br />