Laserfiche WebLink
FcRMIT APPLICATiVN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA�8201 <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.# PEFjJYIIZ� <br /> �-%�7/i; ;-'4.�.cr AL'rz � /J y -z0 <br /> LEGAL LOT NO. BLOCK TRACT OR SUBOIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> .�� .� ��o�/< y����� �G���.,- iati� E�� :� ;�� <br /> TENANT NAME � CONTACT FOR PERMIT PHONE Srj 5)3'.4�l�r� <br /> \;� � I �/(G.`I� Y�1<' nn �h E-MAIL <br /> ONTRACT �� (�„S� �� AD S �y ! I <br /> 1�.�.,, /EG� /�o - �'Jr����'fo-,� �/,t���_�J - <br /> CONTR.LICENSE# q(`�� �9y,} <br /> L�=.�/�����'/LfiA /0 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � ',.�� tc... / l,E AM�L �eclric _Gas_Olher �!-1/�[jV <br /> WORK DESCR�PTION ��� �� /�� <br /> l� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air handling unils <br /> �alhlub Forced air syslems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water healer <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Waler heater Range hood <br /> Sink(service/barlmop/etc.) Exhaust fan <br /> Backllow prevenler _ Heat pump <br /> Urinal Unit healer <br /> Drinking Founlain _ Boiler <br /> Floor drain Re(rigeralion <br /> Grease Irap Woodslove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby cerilify thal I have read and exammed this application and know the same to be true and correcL All provisions of laws and <br /> ordinaces goveminc�lhis rypo of work will be complied wilh whelher specified herein or not.The gran�ing o(a permil does nol presume <br /> to give aulhoriry lo vioiale or cancel lhe provision of any olher state or local law regulating consWclion or the performance of <br /> construclion.Thal I am aulhorized by the owner o(lhis propeAy to perform Qie�vork tor which application is made and I comply wilh the <br /> Slale Cnolract r Law 18.27 RCW and 296200 WAC. <br /> ,�� �� � ����,� <br /> Sign lure of OwnedConlr��odAuthonzed Agenl ��ale / <br /> i � Z <br />