Laserfiche WebLink
� <br /> P RMIT APPLICATIC�N <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � '�, �0 7 <br /> SITE ADDRESS PARCEL TAX I.D.ff PERMIT# <br /> o� �O� U7-G t�I <br /> LEGAL l0T NO. BL K TRACT GR SUBDIVISION p <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> - ( b ���r� !� <br /> TENANTN E CONTACTFORPERMIT � PHONE 25g ��3� ' <br /> +r,�o h� �b- C�a b i � q �.c��lf�,� � a' <br /> E-MAIL <br /> T R � AD RESS I I I E <br /> � I � h-�� ��Ycv�l`4dy-` �3��� <br /> CONTR.LICENSE# � �/D z _G /_ � / <br /> "1 � 1 Yl <br /> USE OF BUILOING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> WORK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXiURE OR iTEM N0. TYPE OF FIXTURE OR ITEM <br /> Toilel NC--air handiing units <br /> �athtub Forced air systems <br /> d Lavatory(wash basin) _ Gas piping <br />' Shower Water heater <br /> � Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Ciothes washer Clothes dryer <br /> = Water healer _ Range hood <br /> � Sink(service/barhnop/etc.) _ Exhaust(an <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> � Floordrein _ Refrigeration <br /> Grease lrap Woodslove <br /> Roo(drains Other _ <br /> � Other <br /> CITY OF EVERETT LOCAL SALES TA%CODE�S 3105 <br />'. I hereby ceritify Ihat I have read and examined this application and know tho same lo be true and correcL All provisions of�aws and <br /> ordinaces governing this type of work K•ill be compiied wilh whelher speciiied herein or nol.The granting of a permit c�es nol presume <br /> to give authonly to violate or cancel ihe provision of any other stale or local law regulaling conslruction or tha pertorma�se of <br /> construciion.That I am aulhorized by lhe owner of lhis properly to perform the work for which application is made and I comply with the <br /> Slatr;Conlraclors Law 18.27 RCW and 296.200 WAC. <br /> �1 [ �----- �� ��7 <br /> Signatu of Owner/ContreclodAulhorized�gent '0"at'e � <br />