Laserfiche WebLink
`I '2(c-�j�i <br /> � <br /> NERMIT APPLICATIt�N <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 <br /> SITE ADDRESS � ` � ir PARCEL TAX I.D.N ERMIT A <br /> �i��? (�J i ���5 i„/C1 /��-l) —� <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> V`il% �^IC-1 <br /> TENANT NAME CONiACT FOR PERMIT PHONE <br /> � r'f-1 I �l L- ��✓<{ .,J �/�h1��/'�K� �/Z,�"-n7� ' 1�J9'� <br /> CONT ACTOR ADDRESS CITY2IP PHONE <br /> ." ���. <br /> CONTR.LICENSE M <br /> USE OF BUILUING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> V,1�!J� � U ��fd4 .Li Elecldc Gas_Othar I �Qn[') <br /> WORK DESCRIPTION <br /> //'J;�/?��c-- I''4c�t,<<_�r �,Ar.:K_ '( ".!'rr-�� /!E1/�r� /l./3-C./� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTUHE OR ITEM <br /> Toilet A/C-air handling unils <br /> Bathlub Forced air systoms �. <br /> Lavatory(wash basin) Gas piping � <br /> Shower Water heater <br /> Kilchon sink 8 disposal Gas fireplaco <br /> Dishwashor Gasrange <br /> Clolhes washor Clolhes dryer <br /> Waler heater Rango hood <br /> Sink(service/badmop/elc.) Ezhaust fan <br /> Backllow prevenlar Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boilar <br /> Floor drain Refrigoralion <br /> Groase tra{> Woodstove <br /> Roo(drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> I hereby ceritify that I have read and examined this application and know the same lo be true and corcect. All provisions of laws and <br /> ordinaces governiny this lype ol work will be complied wilh whethar spocified herein or nol The granting of a permit does nol prnsume <br /> to c�ive aulhority to violato or cancol!ho provision o(any olher stalo or local law regulaling construclion or the peAormance of <br /> conslruclion.That I am aulhorized by the owner of lhis property lo periorm the work lor which application is made and I comply with the <br /> State C�Nractors Law 18.27 RC and 2 l00 WAC. �� � <br /> ��.{��rti't._/ l� � t�—/� �f/Li•J ��i <br /> Sic�nalura of Owned�tracbdAuthonzed Agent D� � % <br /> �Z <br />