Laserfiche WebLink
� ��RMIT APPLICATiJN <br /> ClTY 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 � � � c � PARCEL TAX I.D.# PERMIT p <br /> a a� e � � 4 � ✓Vlo z -cz <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> / 'l9r�y +_.l � �7/N/�� ���E�j ll?Cl�t[ '� C �ITY /v(::f/ PH/�i�j 1 <br /> � J �_ <br /> TENANTNAME CONTACTFOR PERMI�T PHONE <br /> '��4rP� �4p�C� ��� vt.17' �l.��Qs <br /> CONTRACTOR ADORE53 CITY2IP PHONE <br /> CONTR.LICENSE p <br /> USE OF BUIL�!P!G HEAT SOURCE CONTRACT PRICE OF WORK <br /> ���� electric _Gas_Other <br /> WORK DESCRIPTION ���ti// ,(1C �I[ S Iuk i.� L,✓,.+d /ot.h <br /> ;r <br /> PLUMBING MECHANICAL <br />� N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FOCTURE OR ITEM <br /> Toilet A/C—air handling uNts <br /> Balhtub Forced air systems <br /> Lavalory(wash basin) Gaa piping <br /> Shower Waler heater <br /> Kitchen sink&disposal Gas flreplece <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/bar/mop/etc.) Exhaust fan <br /> Backflow proventer Heal pump <br /> Unnal UNlheater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> _ Grease trap _� Woodsloven 11 � , Lu`� <br /> Roof drains _L Other re � J� <br /> Olher <br /> C�TY OF EVERETT LOCAL SALES TAX CODE 19 7703 <br /> II horeby ceriti(y that I have read and ezamined lhis applica�on and know the same to be true and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied wilh whether specified herein or not. The granting af a permit does not presume <br /> lo givo authonty to violate or cancel the provision of any olher state or local law regulating construcUon or the performance of <br /> construclion. That I am authorized by the owner of this property to perform the vrork for which applicatlon is made and I comply with the <br /> Sta!e Contraclors Le`�Y`1�27 RCW antl 296.200 WAC. <br /> , �i -��/J�^� �- r Y os <br /> S' nawre wner/ ontractonAuthonzed Agent ate <br />