Laserfiche WebLink
P�RMIT APPLICATIUN <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 /> APPLICATIOI�ARE ACCEPTED FROM 8 AM TO 4 PM '7 _.1-09 <br /> SITE ADDRESS�O� � �y � � R � ���� PARCEL TAX I.D.N ERMI?M �/�� <br /> �003 (/�l� S /�O /21� I ��)�n- LC`{o <br /> LEGAL LOT NO. BIOCK TRACT OR SUBDIVISION M <br /> DESC. <br /> OWNER ADDRESS CI7Y21P PHONE <br /> 1jnE 1 N � <br /> TENANT NAME CONiACT FOR PERMIT PHON <br /> (3oE � NC� I �ST�� Vj��rz<;KI �.�, �'76�7���� <br /> � e.Ma� <br /> �B�€s�-- <br /> �iNC� <br /> CONTR.LICENSE# <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> mI� � � Eleciric Gas O�her /��� <br /> WORK DESCRIPTION <br /> 1 Ns r�-�c, (o (���c.cs�" rc-�-G� <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet A/C—air hand�ing units <br /> _ Bathlub ForcoJ air systems <br /> _ Lavatory(wash basin) Gas piping <br /> Shower Wa�er hea�er <br /> _ Kilchen sink 8 disposal Gas fireplace <br /> _ �ishwashor Gas rango <br /> __ Clolhes washor Clolhes dryor <br /> _ Waler hoater Ranpo hood <br /> Sink(sorvicelbar/mep/otc.) Exhausl(an <br /> _ Backflaw preventer Hoal pump <br /> Urinal Unit neator <br /> Drinkin9 Fountain Boller <br /> _ Floor drain Refrigeratlon <br /> Graase trap Woodstove <br /> Ruo(drains Olher <br /> Olhar <br /> CITY OF EVERETT LOCAL SALES TIU(CODE IS 3705 <br /> I hareby corilify lhat I have road and axamined lhis app�icalion and know the same lo be lrue and correct. AII provislons of laws and <br /> ordinaces yoverniny this lype of work will be complied wilh whethor spocilied herein or not.The granting of a permil does not presume <br /> to give aulhorily to violale or cance�Ihe provision cf any olher stalo or local law regulating construclion or Ihe peAortnance of <br /> conshuclion. That I am au;horizod by lhe owner ol lhis proporty to perform lhe work lor whieh application Is made and I comply wilh the <br /> Stat Contractors Law 1 7�CW and 96.200 WAC. <br /> �,,,�� �if�,-�l� ' (��`?� �Oq <br /> �SignaWro of OwneUConlraclodAulhorized Agent Date <br /> -- --- `�� i <br />