Laserfiche WebLink
Au€. 29. 2'112 12: 1oF� ti`. ''��� F 2 <br /> l <br /> PERMIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR S7fiEET, EVERETT,WA 98201 <br /> 425-257-8810-FAX 425-257-8857-�+1ww•everettwa.org <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM � -'a.�'j -I� <br /> SITE AD�RESS PARCBL TAX I.D.# PEHh11T# <br /> g y 8 W haoe.n D�" Z S <br /> lEGal LOT N0. OLOCK TRACT OR 9U9UIVISION k <br /> DESG. <br /> A DRESS CITY2IP P��O � <br /> OIYNER S��� �4�5 3539"1�a -�� <br /> �Chn maS S-El <br /> 7eNANT N�.7E � I coNTnc7 FOH PERMIT PHONEy'Lrj 2 <br /> ie �-MA1 ebbie@c � . .�, <br /> cm ea q ln� i4�5 Br w� �►e,�etf q8 � �+25Z5q�6610 <br /> GON71a L CE SE O� n11 <br /> C�' rr�i � �\'T <br /> USE OF BUILDING <br /> HEAT SOURCE CONTRACT PRICE 0�WORK <br /> _Electrlc ✓Gas_Other �z�� •0 d <br /> WORKDESCRIP710N Uh�qa J �JJ�J'�D �rY�Gt,C3� Yl.'fX'� `�' UPS�f$ '� 1 ��ee �'�°" <br /> NZo, lnsia.l� qas -'s�rnau- <br /> PLUMk�ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPH OF FIXTURC•OR 17EM <br /> Toilet A/C—air handling units <br /> � Balhlub � Faroed air systems qQy furrwc.a <br /> La�alory(wnsh basln) ,� Gns plping <br /> � Showor Water hoaler <br /> Kilchen sink 8,dlsposal = Gas fireplace <br /> � Dlshwasher Gasrange <br /> � Clolhos washer � Clolhes dryer <br /> Walor hoalor _ Ranpe hood <br /> Sink(serolce/baNnwp/elcJ Exhaust fan <br /> � eackllow prevenlor _ Heat pump <br /> Urinal Unit heator <br /> � Drinkinp Fountain � 6oilor <br /> � Floordrain _ Relrigeralion <br /> Gronse Irap _ Woodslove <br /> � Rool dralns _ Olhor <br /> � Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby Cerltlly thal I havo road and axamined thls applkallon and know iho came to be lrue and Correct. All provlslons of laws and <br /> ordlnaces poverning this lype of work will be complled wilh wholhor spocitiad harein or not.The grunOng ol a permlt does not presume <br /> to glvo aulhodly lo violnlo or cancel lho pro��slon ol any other slele or locol Inw re{7uIANnp conalrucUon or the podormance oi <br /> constructlon.That I am aulhorized by tho o�mer of Ihis property to pertorm Ihe woik for which appllcation is made and I comply with Ihe <br /> Slate Conlractors Law 18.27 RCW and 296.200 WAC. <br /> � � �•�a� �z <br /> SipnaW olOwnedCo aclor/Aulh z� gont ala <br />