Laserfiche WebLink
PERMIT APPLICATION <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 /> APPLICATION$ARE ACCEPTED �ROM 8 AM TO 4 PM �ji � (S�.—`D <br /> SITE ADDRESS PARCEL TAX I.D.N PERM�T N <br /> �DO" 3/�✓0 /�'J� � S <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION N <br /> UESC. <br /> OWNER ADORESS CITY2IP PHONE <br /> �d L�IJ G <br /> TENANT NAME CONTACT FUR PFRMIT PHONE l�2}-', p76.Z,�'9!/ <br /> 13UF/I`/ G I L• �{'St(..f/'�h�/Lsk/ e-rea� <br /> CONTR.LICEN3E N 1 ��^� ���� �✓/�/� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> `(�E f SU�S r/� T�0 r� _Electric __Gas_Othor /�U�U 0 G <br /> WORKDESCRIPTION oc T� � � � Sv�sr�.��r/ 3oX �� � <br /> N�r� ac.;x s <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIkTURE OR ITEM <br /> Toilot A/C-air handling units <br /> Balhtub Forced alr systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler heator <br /> _ Kilr,hon sink 8 disposal Gas lireplace <br /> Dishwasher Gas range <br /> Clothes washor Clolhes dryer <br /> Watnr hoater Ran�o hood <br /> Sink(servico/barlmop/olc.) Exhausl lan <br /> �ack(low prevnnter Heal pump <br /> Urinal Unit heator <br /> Drinkin�Pounlain Bniler <br /> Floor drain Refrigeration <br /> Groasc Irap Woodslovo <br /> Roof drains Olher <br /> Olhar <br /> CITY OF EVERETT LOCAL SALES TA7f COOE 18 3105 <br /> 1 hereby coritily that I havo road and ezamined this applicalion and know lho same lo be true and wrrect. All provisions o(laws and <br /> ordinaces goveming lhis typo ol work will be compliad wilh whethor s{wcified herein or nol Tho granting of e permil does not presume <br /> to flive auihorily lo violalo or cancol tho pmvision ul any other slale or lor,al law rogulating construction or the peAortnance ol <br /> conslruction.That I am authorizod by the owner ol Ihis property to perlorm the work lor which application Is made and I comply with the <br /> S� Contradois�w�1 >2/7$CW a 296.20U WA <br /> �,��.,,�. / ,/���Ce�� ' 5��2-��a _ <br /> �Signaluro ol O er/Conlractor/Authorized A�anl Dale �/ <br /> Z <br />