Laserfiche WebLink
PtRMIT APPLICATIUN <br /> CITY OF EVE'�ETT PERMIT SERVICES <br /> 3200 CEDAR ::TREET, EVEFtETT, WA 98201 <br /> 425-257-8810—FAk 425-257-8857 —www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '7 ��j —O q <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT N <br /> � = G �i11U � ' ���/ '� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �1a5/-� C- � �a1�CTC�O Irc��ks�,�,•�9, e.►na� aC22yj?`/7 <br /> �aarrr� <br /> �rat�,l< t;r.,�,a7� l.c�� 1Sy�"lS-��loS� � <br /> CONTR.LICENSE p�, �!R�� I�I I�UYL z°�`Zys2 y' <br /> }ra„ k F'r' �'L�- :u �' <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleciric _Gas O�her �OC��� �,�� <br /> � — <br /> WORK DESCRIPTION <br /> C�C�.) ������ � <br /> PLUMBING MECHANICAL <br /> Np. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling unils <br /> Ba�htub Forcod air systems <br /> Lavalory(wash basin) !� Gas pipfng <br /> Shower _ Water hea�er <br /> Kilchen sink 8 disposal _ Gas lireplace <br /> Dishwasher _ Gasrango <br /> Clothes washor __ Clo�hos dryor <br /> Waler heater _ Range hood <br /> Sink(servicelbar/moplelc.) _ Exhausl fan <br /> packllow pievn,nter _ Heat pump <br /> Urinal _ Unit hoater <br /> Drinking Foun�ain _ Boiler <br /> Floor drain Relrlgaration <br /> Groase trap _ Woodstovo <br /> Roof drains _ Olher _ <br /> � Olhnr __._ — <br /> CIfY OF EVERET7 LOCAL SALES TAX CODE IS J705 <br /> I heroby coritify thal I have road and examinr.d this applicalion and know Ihe same to be lruo and correct. All provlsfons of laws and <br /> ordinaces governiny Ihis lype of work will ba compliod wilh whelher spociliod horein or nol.The granling o(a pormil does nol presume <br /> to givn authonty to violate or cancel the provislon ol any other stale or local law regulating conslruclion or Ihe pedormance of <br /> construclion.7hat I am authorized by Uie ownor o(Ihis proporty lo poAorm Ihe work lor which application is made and I comply wilh the <br /> Slale Conlractors LaW 18.27 RCW:ind 29fi200 WAC. <br /> � �/� �� �� n � <br /> Siynaturo 6 Owq NGwitrectodAulhorizod Aganl Dale <br /> I----- __ . . _--- ------------ --- I <br />