Laserfiche WebLink
PERMIT APPLICATIO�� <br /> CITY OF EVERETT PERMIT SERVICES ,�,L � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I_' " - ,.,,, ' , <br /> 425-257-8810 - FAX 425-257-8457-www.everettwa.o�g;; i�t 2 � �-''�} <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM }��)Ii L 1� ��'�t°1��/ <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> , �l C.l"7 C(�1 L� t-'��, � �(j`-{ i L-- d S (�-,1 ZY'� � �7�4 _ <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> TENANTNAME I CONTACTFORPERMIT PHONE 3bD� L,�7 � ' � 3 �I3 <br /> ��'C.'..c.. � _ �t'l � LUC-�� li i\'�'- E-MAIL Lb�� C '���p� S��nr���. �^� <br /> CONTRA R ADORES �TY�Z�P PH � <br /> —j T�F S�;�.�o�� , 1 �'1�-- ao��l E ?rarc�tJY,Je�� ��..,�S�.r n, 3l.{>-(07�-�3�,3 <br /> CONTR.LICEN/SEN q.�3�` <br /> � �C'atJ�� �' � S <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric _Gas Other � ��� ��� � C-CJ <br /> ���L_�� \�- - - <br /> WORKDESCRIPTION l-c rK•��L t'-x���r��C�"'CtinY�� �C�L'' �`�'cf S���r�S n-''1'� 2-{���^ C_c_ <br /> l.`i � \ �� �4'L� � '�C�k'•CE� 1�1T Y�r� Sl.�r!'oi�n J:j r� Q!_cs �.•.%:�-h nC..0� IY�4"GZ f1Ut1- 7-1l li n� . <br /> ���nC� b;�v--1sr'�,C._� �_,.-�-�. r� �J. <br /> LC.�JC� j:r�i�L�`��l��cJ �._��-�h f�QLJ. 1��\QCe � .�' 7 <br /> 1�y�lq Ce_C� ��or�� �i n.�.�,� �J��j���-��-Ce W�}ti v.� w . <br /> PLUMBING MECHANICAL <br /> NO. 1YPE OF fIX7URE OR ITEM NO. TYPE OF FIXTURE OR ITEA7 <br /> Toilel _ NC-air handliny unils <br /> �alhlub _ Forced air syslems <br /> Lavalory(wash basin) _ Gas piping <br /> � Shower _ Walerhealer <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clolhes washer _ Clothes dryer <br /> Waler heater _ Range hood <br /> Sink(service/badmop/elc.) _ Exhausl fan <br /> Back(low preventer _ Heat pump <br /> Urinal _ Unilliealer <br /> Drinking Founlaln _ Boiler <br /> Floor drain _ Refrigeretfon <br /> Greaso trap _ Woodstove <br /> Root drains _ Other <br /> Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby cerilify thal I have read and examined this application and know tho same lo be true and correcl. All provislons ol laws and <br /> ordinaces goveming this typo of work will be complied wilh whelher specified herein or not.The granting of a pertnil does nol presume <br /> to givo authonry lo violale or cancel the provision of any other slate or local law regulating consWclion or lhe performance of <br /> construc n.Thal I am aulhorized by Iho owner of this properfy to perform the wor1;for which appliwtion is made and I comply with the <br /> �j9te C ntraclors La 18.27 RC ai�2`��0 WAC. �/� /J, <br /> Sig alur �of Owner/ traclori�orized Agent Da e � <br /> /� J <br />