Laserfiche WebLink
r <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-vwvw.everettwa.org <br /> APPIJCATIONS AFiE ACCEPTED FRpM g qM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.K qy�� <br /> ��'i\ Cot,�,`t Au�..a��r. �='��.Ti G� �5 30 9ADl v .C�('7 (��1� <br /> LEGA LOT NO. BLOCK ?AAC7 OR SUgqVIS1pN M <br /> DESC. � � � �'D�- yIL�NS /.�DQ Q � <br /> OWNER ADUHESS C(TYlLP PNONE <br /> '�.��kv-K�y �i�.�.�u... 150� �.,c�r.� 1vr.r, . ��n. 4�z5-9�3-'S92� <br /> 7EIiANT NAME COlfiACT FOR PEiMfi �E Y�.S �T(eC S�57 <br /> V C� a KAY4�yS�'ILw��,tr I }�.G�..7 �. 1�= �-� � <br /> Z'..Lsai ea�u�kcltyb-�de.s.�N ..�..i.�o <br /> ��I.C.L ��'J$� 1^.t��.t U,t V��.w �k'-�l� (�'y=.:t•�tqiti IL <br /> coNrR.ucewse s �S�5��-7-7e� <br /> �'�-'�`�'�9S7C� `�r��'s <br /> USE OF BUILDING I — HEAT SOURCE I CONTRAC7 PRICE OF WORK <br /> t��w S�nu...�. �v.���( i'�c�?�. sj <br /> Electric _�[Gas Other �)��u� <br /> WORK DESCRI �.yu„c� UF :.k�S i�A�C. C�� Si C1- �tu*-+�- y' G�-v '�- ' tr — <br /> ��� �� t � Liti _ 1 � <br /> PLUMBING MECMAHICAL <br /> NO. 7YPE OF FlX7URE OR ITEM NO. 7YPE OF FlXNRE OR fiEM <br /> Toilel A/C-air handling units <br /> �2 �a�htub — <br /> �_ Lavatory(wash basin) J_ Forced air systems <br /> �_ Gas piping <br /> � Shower i Walcr heater <br /> � Kitchen sink 8 disposal ' � Gas tirrzplace <br /> _i Dishwashor � Gasrenge I <br /> J_ Clothes washer J_ Cloth,is dryer <br /> _�_ Wator heater _{_ Rango hood <br /> _ Sink(service/ba�/mop/etc.) �- Exhausl fan <br /> __ �ackflow prevenler Heat pump <br /> __ Urinal Uni�heater <br /> Drinking Foun4�in f3oiler <br /> Z Floor drain R�k � ReirigcraLon <br /> Grease trap Woodsiove <br /> __(o Rool drains Other <br /> Olher — <br /> CfTV OF EVERETT LOCAL SALES TAI(CODE IS 37U5 <br /> I hereby ceritify that I have read and examined ihis application aid know tho same to be tr�e and correct. All provisions of laws and <br /> oidinaces goveming Ibis lype o(work will be complied with whether specified herein or nof.The granting of a pe�mit does not presume <br /> to Aive aulhoriry ro violate oi cancel Ihe provision of any other stafe or local law regulating consWction or the pedamence of <br /> consirucli .Thal I am authorized by Ihe owner ol ihis property to pedorm fhe work for which applicaHon is mado and I comply wi�h ihe <br /> Stale Co o rs I�w 1827 RCW _96. 0 WAC. <br /> i <br /> � � � <br /> Sig aWre ol OwneUConVacto/Au onzed Agenl �e <br />