Laserfiche WebLink
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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# ERMIT p r/ <br /> .� �'7-� �(�c�c A � ��b-f��b <br /> LEGAL LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ��� <br /> \� �i C C�C..� SC,`� 3$L� F�—rtc,c..� A�� tlT{!'�N �tS •7.58�.J 4�73 <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> E-MAIL <br /> CONTRAC OR I�� l�� (�p�1_` ADDRES I P p - <br /> `� `� �o ZS �.J W.r�.r.J �_�. D� S1�o a� .,..s[� L.14 <br /> CONTR.UCENSE# �8L�1 O <br /> kAc, �^-rE i-r �oG � fO "3(00• 568-o�C� z. <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> _Eleclric _Gas_Other I �{L(� 5 � <br /> WORK DESCRIPTION <br /> �y�\c � � � ll�-t STCLrL <br /> PLUMgiNG MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling unils <br /> Balhlub Forced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water healer <br /> Kilchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clolhes dryer <br /> Waler healer Range hood <br /> Sink(service/badmop/elc.) Exhaust fan <br /> Backflow prevenler Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roofdrains Olher ?�•_�w.t'J�uiJ'L <br /> Olher <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I hereby ceritify thal I have read and examined lhis applicalion and know lhe same to be true and correct. All provisiens of laws and <br /> ordinaces governing this lype of work will be complied wilh whelher specified herein or noL The granting of a permit does not presume <br /> to give authorily lo violate or cancel Ihe provision of any other stale or local law rec�ulaling construction or the peAormance of <br /> conslruction.Thal I am authorized by ihe owner of this property to perform the woik tcr which applicalion is made and I comply with the <br /> Sta Contraclor�w 18.27 RCW and 29G.200 WAC. v ` <br /> � V �' <br /> Signalure of OwnedConlraclo ulhorized Agenl Dale <br />