Laserfiche WebLink
F�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 /> APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM S_ �O'-�7 <br /> SITE ADDRESS.�/ PARCEL TAX i.D.# !'E IT N ' <br /> 2J ' � 7 <br /> LEGAL LOTNO. LOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> � �l-�� . „ /.//l�l ;1� � <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ,�c��c� �� 53�20�' -�o �o <br /> CONTRACTOR ADDRE55 CITY2IP PHONE <br /> n <br /> CONTR.LICENSE f1 / J�� _ _ � <br /> ��� i7/1 <br /> (�! <br /> USE OF BUILDING I — HEAT SOURCE— I CONTRACT PRICE OF WORK <br /> [lectric _Gas Olher ���U� > <br /> WORK DESCRIPTION <br /> 1/7CI /�GZ%i" �y�,�lc'.Q,GIi � ,�j�Cl,�-Q.1Z <br /> � J�/ �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air hanJling unils <br /> �athtub Forced air systems <br /> Lavalory(wasli basin) _ Gas piping <br /> Shower Water heator <br /> Kilchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clolhos dryer <br /> Water heater Rango hood <br /> Sink(servlco/bar/mop/etc.) _ Exhausl fan <br /> BackOow prevenler _ Heal pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Retrigeration <br /> Greaso Irap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALE�TAX CODE IS 3105 <br /> I hereby ceritify lhat I have read and ezamined lhis applicaUon and know lhe same to bo lrua and cortect. All provisions of laws and <br /> ordinaces gnveming this lype o(work will be compliod wilh whother speci(ied hnroin or nol The grarting of a permit does nol presume <br /> lo give authority to violalo or cancel the provision of any olher slale or local law reguta6ng wnstruction or lhe peAormance of <br /> construction.That I am aulhonzed by lho oynerof Ihis property lo perform the work for which application is made and I comply with the <br /> Stal Conlraclors Law 18.�1�G,M1"an�298.200 VJAC. <br /> � �/f,...� <br /> g alure 60»Ine e'"'rfl re�tor/�uthonzed Agent Dale �r� <br /> / <br />