Laserfiche WebLink
PER.MIT APPLICATIC�nI <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 � / ��� �� <br /> SITE ADDRESS PARCEL TAX I.D.p PERMIT X <br /> y' � � � - , - - - .� '( 11- �3� <br /> LEGA LOi NO. BLOCK TRACT OR SU�DIVISION p <br /> DESC. <br /> OWNER A�DRESS CITY/ZIP PHONE <br /> I�A �� nv TNcn�i?5c�r� �f�,' `1� C���'v £vir�L,ci-r �L'� ��;- �s- y� <br /> ENANTNA E I CONTACTFOR RMIT �PHONE <br /> E-A7AIL <br /> C NTRA T R ESS ITY/ IP N <br /> �U.�l�l,F� <br />� CONTR.LICENSE# <br /> USE OF BUIL�ING I HEAT SOURCE CONTRACT PRICE OF WORK <br /> �� 4�`i� I���� _Electric _Gas ✓Other <br /> WORK DESCRIPTION <br /> 1�U.li �' �S ��J Lix I��-��2�f <br /> l <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling unils <br /> _ Balhlub Forced air systems <br /> Lavalory(wash basin) M Gas piping <br /> Shower -VJater heater <br /> _ Kilchen sink&disposal � Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(service/badmopletc.) Exhaust(an <br /> Backflow prevenler Heat pump <br /> Urinal Uni�healer <br /> Drinking Founlain Boiler <br /> Flccr drain Refrigeration <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Other <br /> CIN OF EVERETf LOCAL SALES TAX CODE IS_105 <br /> I hereby ceritify that I have read and examined lhis application and know the same to be irue and correcl. All provisions of laws and <br /> ordinaces governing lhis rype of work will be complied�ti•ith whether speci(ied herein or noL The granting of a permi!does not prewme <br /> lo give aulhonty to violale or cancel the�,rovision of any other slate or local law regulaling construction or the perlormance of <br /> conslruclion. Thal I am authorized by the owner of Ihis propedy to pertorm the work for which application is made and I wmpl�with the <br /> State Contractor�s Law 18.27 RCW and 296.200 WAC. <br /> '7 j' P <br /> �/,� - --� /( /� <br /> ig atur of OwnedContracbdAulhonzed Agent te <br />