Laserfiche WebLink
I —__-----. _. --_ —_._ — —__—_ <br /> PERMIT �P�LICATIOfV <br /> CITY OF EVER�TT t'ERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-8810-FAX 425-257-8857-vnvv✓everettwa.org <br /> APPLICAZIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARC[L TAX I.D.# PERMIT# <br /> � �o�( C�ll�, A� - on 437ov3v o �oo� r '3G 8 � ct-'� <br /> LEGAL LOTNO. BLOCK 1RACi <br /> DESC. <br /> OWNER AODRE55 CITYIZIP PHONE � 06, <br /> No��{.�r S'rv.;�-�. 2�oy Collo�/ AU�- C.,e,etf 4820� 7ss2 �92 <br /> TENANTNAME I CONTA(:TFORPERMIT PHONE <br /> CONTRACTOR �M[uk �iS A[lU�:!:55 ITY21P PHy2S SS'/7�/2G <br /> � i&'io3 iclY�srp'�2oo /.�dn�./9dzrz <br /> CONTR.UCENSE W /%��G�7M[.q3Y�Y <br /> USE OF BUILDING I — fiEAT SOURCE CONTRACT PRICE OF WORK <br /> Eicclric Gas Othef I ���3 <br /> WORK DESCRIPTION <br /> PLUMBING MEGHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel _ Iti'C—airhandlingunits <br /> Bathtub _ Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Waler heater <br /> Kitchen sink&disposai _ Gas freplaca <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badm /etc.) [xhaustfan i <br /> BackBow preven � I'eat pump ` �_ <br /> Urinai _ Unit heate� � <br /> _ Drinking Fo in _ Ooiler <br /> Floor drai _ Refrigeration <br /> Grease p _ Woodstove <br /> Roof ins _ Other <br /> — othe _ n �lets N. + ��..� «-� 3 �a��eg <br /> CITY OF EVER[TT LOCAL SALES TAX CODG IS J705 <br /> I hereby ceritiy that 1 have read and examined this application and know tho same to be true and corcect. Ail provisions of laws and <br /> ordinaces goveming ihis rype of work will be complied wilh whether sper,ified herein or not.The granting of a permit does not presume <br /> to give authoriry lo violate or carcel the provision of any other state or local law regulaling construction or ihe performance of <br /> consWdion.That I am aulhorized 6y the owner of this properly to per(ortn the�•:ork for which applicatlon is made and I comply with the <br /> State Contractors w 27 RCW and 296.200 WAC. <br /> ��� ����3 <br /> Signature Own dConUaclorlAulhonzed Agent �t�— <br /> --- -- f1_S` J � 1 f`� 'p �7 <br /> i� <br />