Laserfiche WebLink
f ' <br /> P ,ERMIT APPLICATICrN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRcET, EVERETT, WA 98201 (I `� a �"�� <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org Ca6i�-�� ° <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> :-�c�C'Z C=E� l� fk1��C � � - — <br /> LEGAL LOT NO. BLOCK TRA T � <br /> DESC. G �G,(�L� <br /> OWNER ADDRESS CITYIZIP PHONE <br /> tYl��c zi l.� `�ouu����. cL �n��,�� 5�,� r�tX� �i- ��u3 2��cc�s-���-b <br /> TENANINAME I CONTACTFORPERMIT PHONE � <br /> �1►C.KRi=� �, �l_.�Zt� �7S- 745- f b� L �-� <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE# 1+�� <br /> I�b�S.-'�_� <br /> USE OF BUILDING HEqT SOURCE I CONTRACT PRICE OF WORK <br /> �Eleclric Gas_Olher ������� ' <br /> �i�;jlCl(I'1 � lf — <br /> WORK DESCRIPTI N � <br /> �-c��.ih��1 U c� ��ci��nct I,e�l,v�um u�� }1�, ������,� Ficor. <br /> �NLn_2 C�� � � -1 C� `'t3 s,f. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. IYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handhng units <br /> BalhWb Farced air syslems <br /> Lavalory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> 1Nater healer Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> BackOow prevenler Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Otlier <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify that I have read an�examined this appliwlion and know lhe same to be lrue and correcL All provisions of laws and <br /> ordinaces goveming lhis type of work will be complied wilh whether soecified herein or noL The granting of a permit does not presume <br /> to give aulhority to violale or cancel lhe provision of any olher slale or local law rec�ulaling construclion or the peAormance of <br /> construction.That I am authorized by the owner of this property to perform the work for which application is made and I comply wiih the <br /> Slale Conlraclors Law 18.2; RCV✓and 296.200 WAC. <br /> ���GI� C(�ti;��r <br /> SignaWre Ow dCor�ttaclodAuthorited Agent Dale �/ <br /> � Z <br /> i <br /> i <br />