Laserfiche WebLink
P�RMIT APPLICATIUN <br /> CITY OF EVER�TT 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 /> �y3o G-�z-..,.��fl /�✓�- 2�o va �- zo c�� W�o� -o�� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> ONNER ADDRESS CITY2IP PHONE <br /> �iGy��-"t I O�'�J S �-L �•[Ga� F�-'. S. ZG�L7 �"C"'"� <br /> TENANTNAME CONTACTFOR PERMIT PHONE <br /> CONTRACTOR L-��,-�.� ADDRESS CITYIZIP �v�ZClNE <br /> ��- <br /> CONTR.LICENSE M ��(�I �S6Z� <br /> LJ.� <br /> USE OF BUILDI�G HEAT SOURCE CONTRACT PRICE OF WORK <br /> Etectric Gas Olher <br /> WORK DESCRIPTION � <br /> �c�L,f T10.✓ <br /> PLUMBINv MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. I TYPE OF FIXTURE OR ITEM <br /> l <br /> Toilet NC—air handling units <br /> Balhtub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kilchen sink&disposal Gas firoplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Water healer Ranc�e h000 <br /> Sink (service/bar/mopretc.) _ Exhausl fan <br /> Backflow prevenler Heat pump <br /> Urinal Unil heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Retrigeration <br /> Grease lrap Woodstove <br /> Roo(drains Other _ <br /> Olher _ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerili(y Ihat I have read and examined lhis application and know Ihe same to be lrue and correct. All provisions of laws and <br /> ordinaces governine� this lype of work will be complied with whether specified herein or nol The granting of a permit does nol presume <br /> to give authority lo violale or cancel the provision o(any olher slale or local law regulaling construction or the peAormance of <br /> conslruclion.That I am aulhorized by the owner o(this property to perform the work for which application is made and I comply with the <br /> Slale Conlraclors Law 18.27 RCW and 29 09�AC. <br /> i �_ � i�z��c� <br /> Signature of OwnedConlraclorlAulhonze�Tc�enl \� Da e <br />