Laserfiche WebLink
( <br /> P�ftMIT 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.# P MIT# <br /> � o G�,,�s., �� `� ,�'/D -Ulz <br /> LEGAL LOT N0. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PH E yZS� <br /> �g;m � ���i��� G/7�5 ���-r,1��� ��e ����� �.5�b�� � <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> E-MAIL <br /> I <br /> CONTR.LICENSE'11��/� �� <br /> 1` <br /> USE OF BUILDING I — HEAT SOURCE CONTRACT PRICE OF WORK <br /> x Electric �Gas Other � ��joo� <br /> WORKDESCRIPTION �� �rF�'u^. /��i„o�� �, h�� .fwr ���k �n�.. ��fi�.�,>< F•�•>`�•+ k.-i.�...�6+�+f <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> '� Toilel � ,�_ AIC–air handling units <br /> t '� Bathlub ! >c Forced air systems <br /> t Lavalory(wash basin) � ?c Gas piping <br /> Z� Sho�ver � ,� Water heater <br /> i /� Kitchen sink&disposal r� Gas fireplace <br /> I�c Dishwasher � x Gas range <br /> � �c Clolhes washer 3 >c Clolhes dryer <br /> � Walor healer � Range hood <br /> '7 k Sink(service/bar/mop/elc.) G� Exhaust fan <br /> Backllow prevenler / X Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drai�� Re(rigeration <br /> Grease lrap Woodslove <br /> Roo(drains Other <br /> =I Olher = <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilify lhat I have read and examined this application and know the same to be true and correct. All provisions ol laws and <br /> ordinaces c�overning lhis type o(work will be complied wilh whethar specified herein or not.The granting of a permil does not presumo <br /> tyg authoriry lo violale or cancel lhe provision of any olher state or�ocal law rec�ulating construction or the porformance of <br /> constr clion.That I am auUio�i by lho o�vner of this prop�rly to periorm Ihe work for which application is made and 1 comply with ihe <br /> Slale Conlract r� Law 18 W and 29G.200 WAC. <br /> 1 ,, 0 �� �� <br /> W of 0 nedConireclo ut rized A alo <br /> 1�2 <br />