Laserfiche WebLink
� <br /> P�RMIT APPLICATIG�� <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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.M P�RMIT N <br /> ,���,� � W. �'�,s. ,�� Rs I I � j�� '/� <br /> LEGA LOTNO. BIOCK TRACT <br /> DESC. <br /> OWNER ADCRESS CITYIZIP PHONE <br /> �,Q,fa/�td ! Ser�Y�ra�e� //G:[ D S'/ ° � ��'P SE E✓P�P � G(J!� �/JS>3�7' i{'�t� <br /> TENANT NAME CONTACT FOR PERMIi PHONE <br /> {'�i.i � Ec/, f�. :�r /ne. I i71:/'</.ri/ ( . .$aciYla /� ��/.25� 337-/�'/y <br /> CONTRACTOR ADDRES3 CITY2IP PHONE <br /> CONTR.LICENSE N <br /> USE OF BUIIDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �', G„i e �f 5�,�.� Eloclnc '�Gas Olhor <br /> WORK DESCRIPTION <br /> , � <br /> 1 � .,y.,_, . /,.� r _„5� ,r I,:.� � �i o.�. �.�:,y <br /> r,i ; 7 c.�.'r. ��� /.. c �,�^ /„94 <br /> r�,. ,�.�.. nwb,', .�.. � ,; „ �:Sl <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM N0. TYPE OF FIXTURE ON ITEM <br /> _ Toilel Ar'C–air handling units <br /> _ Bathtub Forced alr systems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Water healer <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher Gasrango <br /> _ Clolhes washcr Clolhes dryer <br /> _ Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaus!lan <br /> _ Backflow prevenler Hoal pump <br /> Urinal UNl heater <br /> Drinking Fountain Boller <br /> _ Floor drain Relrlgeralion <br /> Greaso trap Woodstove <br /> Rool drains Other <br /> Olher — <br /> CIN OF EVERETT LOCAL SALES iAX CODE IS J105 <br /> I liereby ceritify that I have road and oxamined lhis application and know the same lo be lrue and curteet. All provlsions of lews and <br /> ordinaces governing lhis type o(work will be complied with whother specified hereln or not.The granling of e permit daes nol presume <br /> lo give aulhonty to violato or cancel tho provision of eny other state or local law regulaling consUuctlon or the peAormance of <br /> construction.That 1 am aulhorizod by lhe owner ol lhis property to perfurm lhe work(or which appllcation Is made end I comply with the <br /> Stalo Contractors Law 78.27 CW and 296 200 WAC. <br /> �6 <br /> ��%;' ' �"-��.�� 5=3i dS- <br /> SignaWre o Owne nhactodAulhonzed gent ate �) <br /> I <br />