Laserfiche WebLink
-- --- � — <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES .- -, <br /> 3200 CEDAR STREET, EVERETT, WA 96201 ;r� � � _- <br /> 425-257-8810- FAX 425-257•8857 -www.everettwa.org /�� <br /> � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.M PERMIT N � <br /> �o - �� �'c;�� o� - yonn_ non -nlc� c� (�, 'r , � . ��, <br /> LEGAL LOTNO. BLOCN TRACT <br /> DESC <br /> OWNER ADDRESS CITY2IP PHONE ���� /—J <br /> 1 /� �y� � �/� / p �,/ <br /> �c�✓L''n/ '� f'cK7-`1 /�Ca-�n('LI 1 ^1 ��:,(7 � '�t1[� y �(7 �Je.�������L �.`�--J''4� I7 <br /> TENANT NAdAE CON7ACT FOR PERMIT . PHON� <br /> 1OV �� � � / />, �. ,� �'. �!:� ' L�/� / �f-� <br /> CONTRACTOR , ADDRESS CITY2IP j� PHONE <br /> - _ � � ; ,, , ; . � � , ��,�,, � �7� ,��� q�,�,� <br /> CONTR.LICENSEA � � <br /> USE OF BUILDINO HEAT SOURCE/ CONTRACT PRICE OF WORK <br /> /.�`f Ci(/ �� l'Cf rLu� l��tr�ae�Other �l)( iT 1�_ <br /> WORK DESCRIPTION <br /> �_���� � �i- /- ��oxlyx � ����1� ���; IoP�',�� <br /> PLUMBIIVG MECHANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FUITURE OR ITEM <br /> Toilet A/C—air handling umts <br /> 8athtub Forced air systems <br /> lavalory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kdchen sink 8 disposal Gas fireplace <br /> Dishwashe� Gasrangc <br /> CloUies washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(servicelbar/mo tc) _ Exhaust fan � <br /> BackBow prevent Heat pump <br /> Urmal Unit heater <br /> DnnWng Fo ain _ Boiler <br /> Floor drai _ Relrigera � n <br /> Grease ap Wo0d5 ve <br /> Rool rains Oth= <br /> 0 r <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J/05 <br /> I hereby centily that I have read and ezamined lhis apphcahon and know ihe same to be true and correct. All provisions of laws and <br /> ordinaces governing this type ot work will be complied with whelher specified herein or not. The granting of a permit does not piesume <br /> to gwe authority to violale or cancel the prov�sion of any other state or local law regulaLng construction or the perfortnance of <br /> consVpc(ion Thal I am authonzetl by Ihe owner of this property to perform ihe work lor which appliwhon is made and I comply with the <br /> Statc CqhVadors L�aw_18 27 R n .96 200 W <br /> / � <br /> ��� C� L - '�� /n/� � <br /> Signa u•e ot Owne � r o/ m or.ed Agent D le <br /> ��Z <br />