Laserfiche WebLink
PEI7MIT APF�LICATION <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 Phl a a"� `�� <br /> SITE ADDRES� PARCEL TAX I.D.# PERh11T# <br /> �ve,� eev� Gf� �� I��v y - 00'S <br /> LEGAL LOT NU. BLOCK TRACT <br /> DESC. <br /> OWNER � ADDRESS CITY2IP PNONE <br /> ��vi5 7'�o r7�, � S y�l� C-�P�'' e��-t C?, ��I� Zo� <br /> TENANTNAME CONTACTFORPE MIT � �hr;f PHONE <br /> .7�e�� �s ��n y �- S� 1�e�s , � � ; ��; , ����'!fZS 3y3-3S75 <br /> CONTRACTOR ADDRESS (``' �� �CITY2IP__ PHONE <br /> �F�r�- d/ ii Je(f � �2 S Z�Q 5�13¢ <br /> CONTR.LICENSE# D„ )N°-�� IVfr) Gt D(Snt �c.d u� r���l. <br /> I/`� <br /> USE OF BUILDING I HEA'1'SOURCE CONTRACT PRICE OF WORK <br /> D�� Eleclric Gas Olher �/�7Q�$/S�i <br /> t7�i'C e - �cwrvke✓c��c� / — — — — <br /> WORK DESCRIPTION <br /> '�� — �r�rs , Gc��.i/ s <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> Bathlub Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kilcf.en sink&disposai _ Gas fireplace <br /> DishHasher Gasrange <br /> Clofhes washer _ Clolhes dryer <br /> Waler healer Range hood <br /> Sink (service/bar/mopletc.) _, Exhaust fan <br /> BacLflow prevenler _ Heal pump <br /> Urinal Unil heater <br /> Drinkinc� Founlain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y Ihal I have read and ex.amined this application and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces governing this type o(work will be complied wilh whelher specified horein or nol.The granting of a permit does not presume <br /> lo give aulhorily_to violate or cancel lhe provision of any other stale or local law regulaling conslruction or the performance of <br /> conslructio . 'hat I '�m aulhorized by lhe owner of Ihis properly to pertorm lhe�+ork for which applicalion is made and I comply with the <br /> State-G nl ors w 18.27 RCW and 296.200 WAC. <br /> / <br /> ��� Z - Z -G� <br /> � <br /> n e of OwnedConlraclorlAulhorized Agent Dale <br /> 1'z <br />