Laserfiche WebLink
P�r2MIT APPLICATIG�J b G `�° s �' � � <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 - DEBIT& CREDIT CAkDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PER IT# <br /> �1,� �UPiZF/jec.� LfJh`_� � <br /> LEGA LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> � ° /.�i/� / G S% 5- G�C�ISi1eu-� LUI�y ��" Z�/ <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR pJ���� rv��r ,/�u�atD/�'�p �DRESS CITY2IP PHONE <br /> Z937� lZY'`�� ��•tiiur, y�r 'r-u- �/s�y <br /> CONTR.LICENSE# `�� '�� � "" <br /> ,�O.D//7/'�2�Z�z. <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> j�l,l(J (�,Ce�"te�s��� _Elc•ctric _Gas_Other � �U <br /> . <br /> WORK DESCRIP710N <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIX'R�RE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> � Toilet A/C-airhandling units <br /> Bathtub Forced air systems <br /> � Lavatory (wash basin) Gas piping <br /> _ Shower = Water heater <br /> _ Kitchen sink 8 disposai Gas firepiace <br /> _ Dishwasher Gas.ange <br /> _ Clothes washer Ciothes dryer <br /> _ Laundry tray Range hood <br /> _ Sink(service/bar/mop/etc,) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> _ Urinal Unit heater <br /> Drinking Fountain Boiler <br /> � Fioor drain Refrigeration <br /> _ Grease lrap Woodstove <br /> _ Roof drains Other <br /> Other — <br /> CITY OF'cVERETT LOCAL SALES SAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined this application and know lhe same to be true and correct. All provisions of laws and <br /> ordir:aces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not pres�me <br /> to give authority to violate or cancel the provision of any other state or Iccal law regulating construcUon or the performance of <br /> construction.That I am aut rized by the owner of this property to perform the work for which application is made and I comply with the <br /> State Contcdctor �Law 18 RCW snd 296,200 WAC. <br /> l ����z'`� f/'/9�- 0� <br /> ature of C.;nedContrectodAuthonzed Ayent �zte <br />