Laserfiche WebLink
� <br /> f�RMIT APPLICATIdN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREI"r, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �a 7•.d 6 <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> �c� ��� ,n /�' BG (o/2— GG`� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PNONE <br /> C�L J i no S� L �'-vfi <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> LC�1 �`�✓� I�-r.L -� <br /> CONTRACTOR ADDRE53 C17Y21P PHONE <br /> CONTR.LICENSE p / <br /> ,�"1^�C�....T <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eleclrir. _Gas_Othor <br /> WORKDE9CRIPTION ^ �",'�,�� C1 llOdTL/ C�2 cUl2c ��Jn,SF�,J; '< <br /> �- ��-"�5 C��r1 S�iJ�- O� �r`1 .STuJ S P /6 O_C . <br /> n j� ' <br /> CJ �h'�(� %d J�<'�/.' 'L��l% <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilol _ A/C-airhandlingunils <br /> Balhtub _ Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Showor _ Walor healer <br /> Kilchon sink 8 disposal __ Gas firoplaco <br /> Dishwashor Gasranc�e <br /> Clolhos washm _ Clolhes dryer <br /> Watorhoalor Range hood <br /> Sink(sorvico/badmop/otc.) Exhaust fan <br /> Backllow preventer _ Hoal pump <br /> Urinal _ Unit healar <br /> Drinking Fountain _ Boiler <br /> floor drain Refrigoralion <br /> Groaso Irap _ Woodstove <br /> Roof drains __ Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS]105 <br /> I heroby cerilily thal I have read and oxamined this app�icalion and know the same lo be true and cortect. All provisions of laws and <br /> ordinaces governing Ihis lype cl work will be compliod with whether specified herein or not.The granling o1 a pertnil does nol presume <br /> lo giva authorily lo violato or canccl Ihe provision ol any other state or local law regulating construclion or the performance of <br /> constructiun.That I am authorized by Ihe owner ot this property lo perlorm the work for whlch appllcalion is made and I comply wilh Ihe <br /> Slate Conlractors Law 18.27 RCW and 296.200 WAC. <br /> �—(/ , �` ��� �.� � �d <br /> Sigdalure ol wnedConiractor/Aulhori d Aqent ale �'� <br />