Laserfiche WebLink
1 ( <br /> PERMIT APPLICATION <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 /> ►� _ z—o> <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI7E ADDRESS l' PARCEL TAX E.D.# PERMIT# <br /> !/(v j� ZJ��: ti.,to � � _�3 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. _ „„^_��✓ 7 �� <br /> OWNER � ADDR[SS CITY2IP PHONE ��ST�' � <br /> �� Cl�. � la� �v l/� 3� ��A✓C�:J¢en w�'�0 ' EvP��7�- GvA <br /> TENAN7NAME CONTACTFORPERMIT HONE <br /> �'2l�Q E�h1AIL _ <br /> NTRA OR ADDRE S � � <br /> CONTR.LICENSE# • /� I �� � �✓ I V��/�'l �� <br /> �f � I l �J <br /> USE OF BUILDING — HEA SOURCE I CONTRACT PRICE OF WORK — <br /> Eleclric Gas Other <br /> WORKDESCRIPTION �� � -�7^ <br /> �,( vN J` i ti ` � J `J <br /> J <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FUCTURE OR ITEM <br /> Toilet AlC—air handling units <br /> Balhlub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower � Water heater <br /> Kitchen sink&disposal � _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clulhes washer _ Clolhes dryer <br /> Water healer � _ Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaust fan <br /> BackFlow prevenler � _ Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> � Floor drain � _ Refrigeration <br /> � Grease lrap � _ Woodslove <br /> Roof drains Olher <br /> � o�h��_ k - <br /> � , s�� — <br /> � � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y lhat I have read and examined tliis applicalion and know lhe same to be lrue and correct. All provisions of laws and <br /> ordinaces governing this type of work will be complied with whether specified herein or not.The granting of a pertnit does not presume <br /> to give authority to violate or cancel the provision o(any olher slate or local law regulating construcfion or the performance of <br /> consiruction.That I am aulhorized by the owner of this propeAy to perform lhe work for which applicaGon is made and I comply�iith lhe <br /> Slale Conl et� w 18.27 RC and 96.200 WAC. <br /> ���� /�—�—p � <br /> Signature ot OwnedContraclodAuthorized Agent Dale <br /> � <br />