Laserfiche WebLink
• --� ' <br /> �ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl7,WA 98201 i <br /> 425-257-88 i 0-FAX 425-257-8857-wv H.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM -DEBIT&Cf?EGIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.# PERt/�fT# <br /> 5 � U U� 1 43aoo 00 ��.�G/ -1t <br /> LEGAL LOYNO. BLOCK TRACT <br /> DESC. �OU �00 }-C�.II^l�l� W �L' IvI�'rS �I�I Z <br /> OWNER ADORESS CI ZIP PHONE 1��,���ct��G <br /> "7 <br /> �QWv( �--�-aa�v�so t� 5�10 5 C�l lecn CL�e. � U LU tt �'��cD� _ <br /> TENANi NAME n I CONTACT FOR PERM T PHONE <br /> IVS'i <br /> CONTRACTOR ADDRE55 CITV2IP PHONE <br /> CONTR.LICENSE N N A <br /> USE OF BUILDING I HEAT SOURCE I CONTRACT PRICE OF WORK <br /> — �, , \� `l ���h _Electnc ✓Ges_Other _ <br /> W d <br /> WORKDESCRIPTION I^ ��U,� � �.�` Qu� �.��,� <br /> kA.f �� �7 ��� <br /> / <br /> PLUMBING 6AECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> �_ Toilel _ NC-airhandlingunils <br /> Bathtub Forced air sys[ems <br /> � Levntory(wash basin) Gas piping <br /> J_ Shower _ Waterhealer <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clothas washer Clolhes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/bar/nioplelc.) Exheust fan <br /> 9eckflow prevenler _ Heat pump <br /> Unnel Unit heater <br /> Dnnking Fountain _ Boilar <br /> Floor drain _ Refrigeration <br /> Grease Irap _ Woodstove <br /> Roof dreins Olher <br /> Olher <br /> CIN OF EVERE' LOCAl5AlE5 7AX CODE IS 3105 <br /> I hereby centify lhat I hav��ead end examinea this application and know the same to I,e W e and corcecl. All pmvisions of lews end <br /> ordinaces goveming lhis type of work will be complied wilh whether speofed herein or not.The granting of e permil does not presume <br /> lo give authonty to vi.iate or cance:lne provision of any other state or local law regulating construction or the performance of <br /> conslructlon.That i em nulhorized by lhe owner of ihis property to peAorm Iho work for which epplication Is made and 1 comply wilh Ihe <br /> SIatA�ConUaclors Law 1 .27 RCW end 296.200 WAC. <br /> / <br /> i n�.�/ I/1�/ `� ° I <br /> Signature o wned nlractor! ulhonzed Agent ate � 7/ <br />