Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER'cTT, WA 98201 j I � � ` p fj <br /> 425-257-8810– FAX 425-257-8851 –www.everettwa.org I <br /> APPLICATIONS ARL ACCEPTED FROM 8 AM TO 4 PM ���/D �v' _ I <br /> SITE ADDRESS PARCEL TAX I.D.# P�RMIT# <br /> ��� � �ll(�5�;� �y;� _t�-Y '; ;1,;,'i�� ��� ��x�i�1`� � � � �J�� <br /> LEGAL LO�NO. BLOCK TRACT <br /> DESC. ���j.Q` � <br /> OWNER ADDRESS � CITY¢IP rnunc <br /> � 1 -.f, C. . L <br /> �/� k l �1 ��.1•�-}p l���ll l h'� i' � ir � �t at�e 0.��� Lt(l 1 Y TZ "�fr['p�Nea o5�� — <br /> TENAHT NAME CONTACT FOR P[HMIT <br /> � ,�l ����11-r1�r1 3Lt[, I�Qi-Ti � �1 - .�(r�'� �-4C� �11��5� <br /> CONTRACTOR • AODRESS CITY2IP PN6NE <br /> �iR�PI ,)C�11 �-�1111<S Qt'� (�i��Y 2G1 �� � r,� 1�_ �,i� il� i,t, .z �1y�7��•, ,, , ' <br /> CONTR.LICENSE p � ' �� �7�-�:���'�1, ^y'�j � <br /> USE OF BUILDING HEAT SOURCE �CONTRACT PRICE OF WORK <br /> � �'1 _Eloctric �Gas_Olhcr �����j�� � <br /> J r i', _ <br /> WORK DESCRIPTION • <br /> �' ,� �:�'��l',C� 2��5 <br /> ,,•�� c�- � (7,0�;'1 <br /> PLUMBING . MECHANICAL <br /> N0. ?YPE OF FIXTURE UR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toil�t _ A/C—alr handling unils <br /> ,'�.� Bathlub I Forr,ed air systems ,. <br /> � _� Lavalory(wash basin) .�_ Gas pipinp .� <br /> Shower _I Walcr heater . <br /> �-- �_ Gas liroplace � <br /> � Kitchen sink 8 disposal � <br /> J._ Dishwasher _ Gasranc�o I <br /> J_ Cluthos washur I Clolhes dryer <br /> �_ W�tcr heater J� Range hood <br /> Sink(service/badmop�elc.) �_ Exhausl fan <br /> BackOow proveN�s _ Heat pump , <br /> Urinal _ Unit heater �� <br /> Drinkinc� Fountain __ Boiler <br /> FloorJiain _ Re(riyeration , <br /> Groasu lrap _ Woods�ove j <br /> Roo�drains Olher _ i <br /> — Oth�r-_.—------_ _I I <br /> _ <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS J105 I <br /> I hrreby cerilily thal I have road and oxamined �,his a;�plication and k�ow the same to bo lruo and corrocl. All provisions ol laws and <br /> Iordi:�aces gov�rninc�ihis type o(work will ho complied wdh whelher spccifiad horein or not.The granting of a permit doos not presume <br /> lo c�ive aulhorily lo violale or canr,el Uio provision ol anv olhor slalo or local law requla�ing constniction or Ihe perfurmance of <br /> I conslrur.lion.That I em authorizod by Ihe ownor of Ihis property b perlorm ihe work lor which application Is mado and I comply with the <br /> �� Stalo C�Iractors Law 10.27 RCVjl�and 200 WAC. <br /> i � ^ � <br /> � , � ,�/'.�'-'�� /�' "� /����r <br /> Sic�i re ol OwneF/Conlrac /Authonzed Agont � Dato �h <br /> /�. <br />