Laserfiche WebLink
I <br /> P�RMIT 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT <br /> �„�r UO�503 �ooQOi CO yvl ol -i � <br /> IEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CINIZIP PHONE <br /> D� �v�K yvl5 F��sr �2 . � 9'�203 K�5�S9-I�l <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> v��1� �cLlFt= E-�a �75-6�(o�j <br /> CONTRACTOR ADDRESS ITY/ P PHONE <br /> DA�Y d-�/� Pc.n6�--�-fiTl /G GlU i3�Ati��w �Y�✓r✓, �z5-�75��/U� <br /> CONTR.LICENSE# T��� n�n � /C! O n G��3� <br /> U �� � �� � �`K <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Eleclric �Gas_Other � �(� ���� vV <br /> WORKDESCRIPTION /J�nLACE CZ�S�/lJ� � ��)�Y,V, f} '�i "G/�J� �� <br /> `` <,�'y1� LC/�a/v , <br /> ��S ��il�'c�✓fl C� ,�✓ v <br /> � <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITE:�1 <br /> Toilet A/C—air handling units <br /> Ba�hWb Z Forced air systems . <br /> Lavatory(wash basin) _ Gas piping , <br /> Shower Water heater �, <br /> Kilchen sink& disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes ti•asher Ciolhes dryer <br /> Water heater Range hood <br /> Sink(service/6ar/mop/etc.) _ Exhaust fan <br /> Back(low prevenler _ Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease dap _ Woodslove <br /> = Fteof drains I = Olher — <br /> Other — <br /> CITY OF EVERETT LOCAL SALES T!'C CODE IS 3105 <br /> I hereby cerilify thai I have read and examined lhis applicalion and know lhe same to be lrue and correct. All provisions of laws and <br /> ordinaces governing tliis type o(work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> lo give aulhority to violate or cancel the provision uf any other stale or local law regulating conslruction or the performance of <br /> � construction.That I am aulhorized by lhe owner oi this propeRy lo perform lhe work for wh+oh application is made and I comply with the <br /> Stale Co rectors Law 18. RCW 29 .200 WAC. <br /> �. /-/�-a� <br /> Signa ure OivnedConlrac Au ent Date <br />