Laserfiche WebLink
Y <br /> P'tRMIT APPLICATIC�N <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 i" PARCEL T/UC I.D.q PERMIT p <br /> � � / .� -. i . / J -7jYf_ - O <br /> �;' ;�-� ��� ,, �%1� ,-' . _' OD /�! <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. w_z� � G�JCJT TJ <br /> OWNER ADDRESS CITY2IP PHONE <br /> Robe✓f"/ci,�rt�-rr� ���Cakur���f�f*.ti- �'-�s- ,,� ��s--3s�G-(o8'f�3 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> CO�TRACTOR ADDRESS CITYIZIP PHONE <br /> /P•/Gi/✓Cr}-�G Cou� /,(� �7� C4ltccrcGl.u.e� Qt.e_ �'�'�!'�/i1 ��S'�3s<G-G8�f3 <br /> CONTR.LICENSE# <br /> !e .�/,U G / �iE ZO Z G f� __ <br /> USE OF BUILDING HCAT SOURCE CONTRACT PRICE OF'/YORK <br /> ' _ I�3 /D� DC� D <br /> �_/� �9/� /7, �, Electric �( Gas_Olher <br /> /Ll.yc p p <br /> WORK DESCRIPTION .�ZJ � /D�— <br /> ��� �� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilell� � �I � A/C-air handi�ng unils <br /> Z, Bathtub'4l �� � Forced air systems <br /> _� Lavatory(wash basin)i� � � � �� L Gas piping <br /> 2 Showeray i� _� Walerheater <br /> � Kitclien sink&disposal •3 Gas fireplace <br /> _L Dishwasher — Gas range <br /> Z Clothes washer �- Clothes dryer <br /> Z W%.ier heater Range hoed <br /> 2 Sink(service/bar/moplelc.) �'I � [xhausl fan <br /> BackOow prevenler _ Heat pump <br /> Urinal Unit heater <br /> a Drinking Founlain _ Boiler <br /> Floor drain Refrigeralion <br /> _ Grease lrap Woodslove <br /> _ Roo(drains Z Other 9'� <br /> Other <br /> CITY OF EVERETT LOCAL SALES TNC CODE IS 3105 <br /> i hereby cerilify thal I have read and examined this applicalion and know the same to be lrue and correct. All provisions of laws and <br /> ordinaces goveming lhis rype of work will be complied�vilh whether specifed herein or not The granting of a permit does not presume <br /> to give authority lo violate or cancel the provision of any other state or local law reguiating wnsWction or lhe performance of <br /> conslruclion.That I am aulhorized by the owner of this property lo peAorm the work for which application is made and I comply with lhe <br /> Slale Conlractors Law 1 ' 7 RCW and 2 •.200 WAC. � <br /> � , ��,�-�0 7 <br /> ature of wn.dContractor/Authorized Ac�enl ��e � � <br /> �z <br />