Laserfiche WebLink
. __ � - � �� <br /> PERMIT APPLICATION <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 ��,�C�-/-�Z <br /> SITE ADDRESS I � PARCEL TAX I.D.N RMIT N <br /> ��` Z �Qr.�.�Ck. C'f�V`L. C�Q�' � .� �c�— <br /> LEGA LOTNO. BLOCK ?RACT � <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE /" <br /> � V2 ;'� <br /> ��t-,� Ys a G�� 15 c�uh c � •,n� ����„ s h c�.�.rt✓ ti�2z �,�c.k�� �_-: f,,,-..,Et- Z,�-�v; , <br /> TENANT NAME I CONTACT FOR PE MIT PHONE <br /> �.r .,z� <br /> C9N�IACTOR (� (IV;�rCY_ c1 Iti�'�{Y��'��l.�� ADDRESS ��L'ly (��••�'�, r�1 CITY2IP PHONE � t� <br /> -rs z�,� n��F�i+eo��� . ��a-z?r `fii - � <br /> CONTR.LICENSE R ����� 1j�L I�I�I�"��. <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> C,��1� �QU � I Elecinc YGas_Other I _] 7�GGG.�' l <br /> WORK DESCRIPTION <br /> N�ti R���<��,,.. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF F�XTURE OR ITEM NO. TYPE OF FIl(TURE OR ITEM <br /> Toilet AIC—air handling unils <br /> Bathtub Forced au systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 dre{wsal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(serncePoarlmopletc) Exhaust fan <br /> Badcflow preventer Heat pump <br /> Urinal UNt heater <br /> Drinking Fountam Boiler <br /> Floor drain Refngeration <br /> Grease trep Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERF.TT LOCAL SALE9 TAX CODE IS 7105 <br /> I hereby ceritify Ihat I have read and ezamined this appliwuon and know the same to be Irue and coned. All provisions of laws and <br /> ordinaces goveminy this type of work Ni�i be complled with whether spedfied herein or not The grenting of a pertnit does not presume <br /> to glve authonry ro violate or cancel the provision of any other state or local law regulating construuion nr the peRormance ol <br /> constmqion That I am authori d by the owner of this property ro perform fhe work for whlch apphcation is made and 1 comply with the <br /> Slate Contradors Law t W and 296 200 WAC. <br /> 5I6 04� <br /> igoature o � ontra o N onze gent are <br />