Laserfiche WebLink
. � <br /> PE�tMIT APPLICATIO�J � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEF'�T1', WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRE PARCEL TAl(I.D.# PERMIT# � <br /> ✓ �3 �000 '/ <br /> LEGA LOTNO. BLOCK TRACT i <br /> DESC. <br /> OWNER ADDRESS CITY/ZIP PHONE�c n <br /> ✓��" CT2(l� 7� o �e�" , . _ � <br /> NANT NAME CO TAGT F PERMIT PI10NE <br /> � � � � <br /> ONTRACTOR �.-� ) � RESS ��/M � �[nin n�CITYfZ���' v��E�v� ��C� <br /> � ' � 7w `�U� ��-CiQa Q r/J <br /> CONTR.LICENSE# r /�I ��� ��' p 0�� <br /> USE OF BUILDING HEAT SOURC[ ONTRACT PRICE OF WORK <br /> __Electric _Gas_Other CL�9 �� 9� �� <br /> / <br /> ORK DESCRIPTION/ / // �� �! �r�� j�(,�Ce , (,� <br /> .�s-�,u (�� 3 - 1 x l� 3 �" 9 � �� <br /> � � - �o -- �;� ��o . <br /> PLUMBING MECHANICAL <br /> NO. 11:'E OF FIXTUkE OR ITEM NO. TYPE OF FIXTURE OR�TEM �. <br /> Toilet A/C—air handling unils <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kilchen sink 8 disposal Gas fireplaco � <br /> Disnv+asher Gas renge <br /> Clothes washer Cblhes dryer <br /> lNater heater Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow prevenler Haat pump <br /> Urinal Unit heater <br /> Drinking Fountaln Boiler <br /> Floor drain Rofrigaralion <br /> Grease lrap Woodstove <br /> _ Roof drains _ Other I <br /> Olher � <br /> _ = 1 <br /> CITY OF E\'i^ETT LOCAL SALES TAX CODE IS 3105 � <br /> I hereby cerilify lhal I have read and examined lhis applicalion and know lhe samo lo te Iruo and wrrecL All provisions of L:ws a�d <br /> ordinaces goveming this typo of work will bo compiied wilh�vheiher specifiod herein or nol.Tho granting of a pormil does nol presLmo <br /> to givo authority lo violale or cancel lhe provision of any olher slale or local law regulaling construction or lho performance of <br /> conslruclion. Thal I am aulhorized by Ihe owner of th�s property lo perform lhe work for which applicalion is made and I comply wi h the <br /> State � ctors w 18.27 CW and 296.200 WAC, (J� � i <br /> L� �{ <br /> Signat i a uthonzed Agent Dale \/Z t <br /> -- I <br />