Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX�.D.ft PERMIT N <br /> _, 7 �_ t , 00 -�s� -oi -ob ���z-� <br /> LEGA LOTNO. BLOCK TRACT �L'� <br /> oesc. � j ' c _ n�� <br /> �jE(-� 1.��- �/aNl� �/EI��C Aoo�3(5 `-.�� IZUIMb14fITMl�c� f�,.�^�ttn.E�� �{zS <br /> 7s�--Z �1z <br /> TENANTNAME CONTACTFOR PERMIT PHONE <br /> CONTRACTOR ADDRESS CITVIZIP PHONE <br /> CONTR.UCENSE p � �� L� T I C�r Y 1'� l-� <br /> V 4- i ) <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � �� (� _Fledric X�as_Othm � ?S� �— <br /> � T-� <br /> WORK DESCRIPTION <br /> � <br /> 1 / L U'1��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilot A/C-air handling unils <br /> Bathtub Forced air systems <br /> Lava�ory(wash basin) _ Gas pipiny <br />� Showr,r Waler hea�e� <br /> Kilchen sink 8 Aisposal _ Gas tireplace <br /> Dishwasher G�s range <br /> ClothAs washor Clothes dryor <br /> Walor heater Ran�e hood <br /> Sink (servicelLar/moplato.) Exhaust fan <br /> Beck(low preverter _ Heal pump <br /> Urinal Unit hoater <br /> Drinking Fountain _ Boiler <br /> Floor drain Rehigeralion <br /> Groase Vap _ Woodstove <br /> Roof Ar2ins Other_ <br /> Olher <br /> CIIY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify thal I have read and examined Ihis application and know Ihe same to be lrue and covecl. All provisions of laws and <br /> ordinaces governinc�lhis lype of work will be complied with whe�her specitied horein or not.The granling of a permil does nol presume <br /> lo give authorilyto violale o�canr.el Ih rovision of any olhei state or local law regulalirg ^�n�iruction or Ihe performance of <br /> conslruclion. N�at I am aulhorize,d by he owner of lhis proparty to perlorm tha work for whlch eppllcalion Is made and I comply�vith Ihe <br /> State Contra�tors Law 1A27 REW a A 29f.200 WAC. � <br /> i }� /� <br /> � � ��Jt�l- � V�� <br /> SiJna u e of n d ontrac odAulhonze Agen� Date <br /> 1 : <br />