Laserfiche WebLink
��RMIT APPLICATIUN <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 /> APP�ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> ��oD( �"Gc��'-�LA- 2. � ,- � /3 <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> S�7T /�/I ,4,��� /,6d/ Fi.c�i D rt- n,� �'r,�z�ETT ��' rn 3�'s-�siy <br /> TENANTNAM� CONTACTFORPERMIT PHONE <br /> M icn£c�� wZs-_��3-�zZ Z <br /> CONTRACTOR SNO//LYV.�S�-1� CGYirYTf� ADDRESS CITY2IP PHONE "x3S...� '�' <br /> 5'ENio2 s�ev;a,Es C�Zz,S r/l •-K�-� <br /> p �!�! �¢v,E V./ <br /> CONTR.LICENSE# <br /> sE�l oss z.=�3oN /�v�1G� 9k'z�s' <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> .r->��,/1,(.� {j{}r�l L�/ �.<ltGL-_ �Eleclric _Gas_Other <br /> WORK DESCRIPTION <br /> ���`.a � Marw�-�z (�-.,� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPF OF FIXTURE OR ITEM <br /> Toilet AIC—air handling units <br /> Balhlub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower � Waterhealer <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Cbthes washer Ciothes dryer <br /> � Water healer _ Range hood <br /> Sink(service/bar/mop/e!c,) _ Exhaust fan <br /> BackFlow prevenler __ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease lrap _ Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify tliat I have read and examined this applicalion and know the same to be true and coRect. All provisions of laws and <br /> ordinaces governingdfiis type of work will be complied wilh whether specified herein or not.The granting of a permit does not presume <br /> lo yive aulh�+'�Y�t�� �4iolate or ancel the provisw of any other state or local law regulaling construction or the perfomiance of <br /> construcfi6n.T I am aut rized by e ow f t 's property to perform the work for which applicatlon is made and I comply wilh the <br /> S!ate ontr�5 Law 1 . 7 RCW d 296 W . <br /> � �� � z ^O <br /> � � � s <br /> Sign re of OwnerlContractor/Authorized Agenl Date <br />