Laserfiche WebLink
� � � \ <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org � -�� —�7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT fl <br /> I I 80 G ve.�'ct� tt�► h �D7 D �'' 4a� <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITV2IP PHONE <br /> GliSto Lunr� <br /> TENPNT NAME I CONTACT FOR PERMIT PHONE <br /> Krist�er� rYl�ck�er��r Caoc.a�'j-aco-c�,�to <br /> EI Taco �oom E-MAIL <br /> � <br /> ��T+-to�i a'�d �+Ct" S�cs cvlc�o ia'''"` Ptve .S . Scai�-IP, W�4 �j8; og <br /> CONTR.LICENSE N � (ao cn) -a-ac� -o��-G <br /> ►�ftO6D n88Q L <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WOFK <br /> _Electric _Gas___Other <br /> WORK DESCRIPTION <br /> �vlsta� lation aF a-n PcYlsi.11 8.o C%��.1 lor Fire <br /> Suppression SyStem <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR lTEM NO. I TYPE OF FIXTURE OR ITEM <br /> Toilet _ A/C-air handling uni�s <br /> Balhtub __ Forced air systems <br /> Lavatory(wash basin) __ Gas piping <br /> Shower _ Waterheater <br /> Kitchen sink 8 dispos2l _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clothes washer _ Cbthes dryer <br /> Water heater _ Range hood <br /> Sink(servicelbadmop/e1cJ _ Exhausl�an <br /> Back(low preventer _ Heat pump <br /> Urinal _ Unit healer <br /> Drinking Foun�ain _ Boiler <br /> Floor drain __ Relrigeration <br /> Grease trap Woodstove � <br /> Roof drains �_ Other GiY[. 6�.iOq�S2g�On <br /> O�her — `--'t"'�"XY_� <br /> � <br /> CITV OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y�hat I have read and examined Ihis application and know�he same lo be true and wrrec�. All provisions of laws and <br /> ordinaces governing ihis type of work will be complied with whethei specified herein or not.The granting of a permit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construction or Ihe performance of <br /> cunslruclion.That I am aulhorized by the owner ot this property to pedorm�he work tur which application is made and 1 compty wi�h the <br /> State Contracrors Law 18.27 RCW and 296.200 WAC. <br /> /P��/? -� �/�/�� <br /> Signalu e o wner/ nlracturlAuthorized Agent Date <br /> ��L <br />