Laserfiche WebLink
� P�RMIT APPLICATION <br /> I 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 (/�/jZ <br /> J <br /> SITE ADDRESS p • � PARCEL TAX I.D.p PERMIT p � <br /> ��� " I �)'DU. Ch �. I�OJ�- lcOo23uc� 1 � � ��`.1 <br /> LEGA LOT NO. 6L0 K TRACT OR SUBDIVISION N <br /> DESC. .`– ��,p . <br /> OWNER AUDRESS CITYIZIP PHONE <br /> l'�P�,MS u�- ��G 2�Z`� 2ucker�lUi,��DU �verc�{' `� cg2ol <br /> TENANT NAME L CONTACT FOR PERMIT PHONE�Lc,_���j��,x I <br /> �CLIC<< S�CL\1'1l,`� I �QI , <br /> � ����1rr�i�o�� �t� Mo1vi Y1 E.MA��evel�� f�aou�o �¢llc�.�lra� � coM <br /> v�v�s Sch��le ,vlv�c• , zbic� ti�i�q,�e �l•`���o � <br /> CONTR.LICENSEp Dqv�SS�1(�S,PN ��y��Ta , t� �IroC,3lr� 'I2�7 -�75� R�U� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��.h�e I �Electric _Gas_Other I�rj pC� OOp <br /> � <br /> WQRKDESCRIPTION �r;,V1�nh�- �bVl`�i'O�ChAY� uF A�I QkfS��tr{ (C��� S�q�C �r LL�G c1s AV7 • <br /> o4ki�e �r-Fcviar wvrkiy �vlclyde v[rvn;vql ��f (z) exish-�voll•�p doc�r� nluvly �u�,rwcJl + �nhll <br /> v�iW��tdc�.��. 1771n�(Yicr venoVa�c�S tv �v�cl..c�-2cievhcl�{,cN�Vlf�.�l wrnil•� , �n�W dmvs��el�kS <br /> ' , fC��u-�- ' . <br /> PLUMBING MECHANICAL �.111�fY-- <br /> �ara� <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OP FI%TURE OR ITEM r�, <br /> Toilet AIC–air handling unils <br /> Balhtub • Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal ' Gas fireplace <br /> Dishwasher • Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink (service/bar/mopletc.) � Exhaust tan <br /> Backflow prevenler Heat pump <br /> Urinal U�il hen:er <br /> Drinking fountain Boiler <br /> Floor drain Refrigeralion <br /> Grease Irap Woodslove <br /> Rooi drains Other <br /> Other <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 7705 <br /> I hereby certify thal I hava read and examined lhis applicalion and know Uie same lo be Iroe and correcL All provisions of laws and <br /> ordinances governing ihis type of work will be complied with whether specifed herein or not.The granting of a pertni�does not presume <br /> to give aulhority to violate or cancel the provision oi any other state or local law ragulating conslruction or the performance of <br /> construc�ion.That I am aulhorized by the owner oi this property�o periorm the work for which application is made and I compty with 1he <br /> State Gontradors Law 18.27 RCW and 296.200 WAC. <br /> %� � �9�a�:,� _. °��7�i� <br /> Signal r of OwnedCon ractor/Aulhonzed Agenl—�Date � <br />