Laserfiche WebLink
PtRMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810 - FNC 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM �.��3--D 7 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT 11 <br /> ' = Cc�� 1� � /yl/l��-�6 <br /> LEGAL LOT N0. BLOC TRACT OR SUBDIVISION p ^� � <br /> . � 1_ �p <br /> OWNER ADDRESS I s CITY2IP� ~ O�HONE I J/� <br /> �,f`(` _�__c)TtL� 6� (a G CC�c�u Ct�� W� �'a�.3 <br /> TENANTNAME CONTACTFOR PERMIT F'HONE <br /> E•MAIL <br /> qnerrs'on :SnsJn//nr�b � 146f6 S�ro�J �T al�. inutysJAh �23�171 �866�9'f,3 d `43 <br /> CONTR.UCENSE R <br /> � _ �_.. � 9G/ �7 � <br /> r�� ,r-�, <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> __Electric __Gas__Olhcr _ <br /> WORK DESCRIPTION i nS"rA I 1 w�VC S�O VC' <br /> — PLUMBING MECHANICAL <br /> NO. TVPE OF fIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilr.t _ A�C—air handling units <br /> Dathlub _ Forced air syslems <br /> Lavalory (wash basin) _ Gas pipinc� <br /> Shower _ Water hr.aler <br /> Kitchen sink 8 disposal __ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clotl�es washcr _ Clolhes dryer <br /> Water healer _ Rango hood <br /> Sink(servicelbar/mop/elc.) _ Exhaust lan <br /> Oack(low prevonter _ Heat pump <br /> Urinal _ Unil heater <br /> Drinking Fountain _ Bailer <br /> Floor drain _ Rnlrigerallon <br /> G:easolrap _ Woodslove <br /> Rool drains _ Olhor _ <br /> Other .- --_ -- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 <br /> I heroby ceritily Ihat I have read and ezamined lhis applicalion and know lho same to be Irue and correcl. All provisions of laws and <br /> ordinaces governin9 this lype ol work will be complied wilh whether specilied herein or nol.The c�renting of a permit does not presume <br /> to givo aulhority�o violale or cancol Iho provisiun of any olher slale or local law regulaling construclion or lhe peAormance o( <br /> conslruction.That I am authorized by the owner ol lhis property�o pedorm lh�work for which applicalion is made and I comply wilh tho <br /> � State Conlractors I.aw 1827 RCW end 296200 WAC. <br /> ,,,11 7-a 3-c�7 � <br /> I gig�`re�a�7w� er Contr� bdAuthonzed Agent Da�e <br /> � . . . _. _ - - - ------- <br />