Laserfiche WebLink
I �' <br /> PERMIT APPLICATIC�nI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.�rg <br /> APPII jCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '2...g�� <br /> , _ � <br /> SITE ADDRESS ��•� � �- �� PARCEL TAX I.D.M PERMIT/ <br /> !� , , ,�% ✓ta� i�b8o2 - vo'� <br /> LEGA LOT N0. BLOCK TRACT ON 9UBDIVISION M <br /> DFSC. <br /> OWNER ADDRESS CITY2IP PMONE <br /> �-1 '" 'f' . <br /> TENANT NAME CONTACT FOR PERMIT � RH01{= �i�_� <br /> ��� � N� I l-�N/�2.� Zr, �,e�a� 7 <br /> �dFTR7i <br /> �Mcu � <br /> CONTR.LICENSE N <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � ��� , _Electric _Gas_Olher ���n D C� <br /> WORK DESCRIPTION <br /> /2s�.�1/�O_n i�ti c/F6 r�-�+ �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilot� AIC -air handiing units <br /> Bathlub Forcod air syslems <br /> Lavalory(r+ash basin) _ Gas piping <br /> Shower Water heater <br /> Kilchan sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Cblhes dryer <br /> Water hoater Range hood <br /> Sink(servico/barlmoplelc.) Exhaust lan <br /> Backllow Freventer _ Heat pump <br /> Urinal UNt heater <br /> Drinking Fountain Bolter <br /> Floor drain Relrigerallon <br /> Grease lrap Woodslove <br /> Rool drains � Other_ <br /> Other _ <br /> CITY OF EVERETT IOCAL SALES TAX CODL IS�705 <br /> I hereby corilify Ihal I have raad and examined lhis application and know the same lo be lrue and cortect. All provisions of laws and <br /> ordinaces govorning Ihis type ol work wlll bo complied �vilh whelher specified heriin or nc! The granting o(a pertnit does not presume <br /> to givn authorily lo violate or cancal lhe provision of any other slate nr local law�egulaUng conslructlon or the performance ot <br /> construclion.That I am aulhorized gy lhe owner of Ihis property to erform lhe work tor whlch application is made and I wmply wilh the <br /> Slate ntractors La 18.27 RC and 296.200 WAC. <br /> <-6.ii.�A� �i �ir^� - �� � <br /> � ignature ol OwnedConiractor/ Ihorized Agent Date �/7 <br /> v <br /> � <br />