Laserfiche WebLink
i'Et2MIT APPLICATIOrI <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 �z`' ,�-� <br /> c Ll V� l'-- �• 'I A.�— <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> ']��� ,._ r ' i �r� '� '� �(7 1 -� f ' <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION p �_ � ��'�� ��� <br /> DESC. <br /> OIVNER ADDRE55 CITYfZIP PHONE <br /> �� E�� � � <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> � . �;� i �h <br /> I C`� 1 ��L f�l Ulvl C'l�'e � ' 1C�i-Il, i `�I �' C R ' .e•Mni� Zi;(-- �'._'.1-�(U��� <br /> �IL�/A�J� �. ,"- ,. <br /> �NTRACT R AO RES��—�Y��P <br /> CONTR.LICENSE# <br /> TO�f(�I�'�l�t�L�+ <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> Elec�ric _Gas_Olher ���� �j � �jC "t:-� <br /> WORK DESCRIPTION <br /> jr��,�% S a'�, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPf OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Bathtub Forced air syslems <br /> Lavatury(wash basin) _ Gas piping <br /> Sliower Water heater <br /> Kitchen sink&disposal Gas(ireplace <br /> Dishwasher Gasranc�e <br /> Clolhes washer Clolhes dryer <br /> Water healer Range hood <br /> Sink(serviceNar.�mop/elc.) _ Exhausi fan <br /> Backflow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Re(rigeration <br /> Grease Irap Woodstove , <br /> Root drains Olher , <br /> Olher — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 � � <br /> I heret•y ceritify that I have read and ezamined this applicalion and know the same lo he true and cor.act. All provisions of�aws and <br /> ordinaces goveming this type of work will be complied wilh whether specified here;n or nol The gran:ing of a permit does not presume <br /> lo giva aulhority to violale or cancel the provision o(any other slale or local law regulating construcLon or lhe pertormance of <br /> conslruction. That I am aulhorized by lhe owner of lhis property to perform lhe work for which applicalion is made and I comply with lhe I <br /> Stole Ccrilraclors Law 19.27 RCW and 2J6.20C WAC. <br /> / - `" <br /> ' �'^ /2 I 7_C ' <br /> - , '�. .�„ � <br /> Signa ure of Owned nlracloi'Aul rized Agent Dale <br /> � � �-� <br />