Laserfiche WebLink
—{ -- <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT S�ERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810— FAX 425-257-8857 —www.evarettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � _.] b ' (I <br /> SITE ADDRESS � �O I � PARCEL TAX I.D.# j,�G�/D��od� <br /> LEGA LOT NO. BLOCK TRACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITYIZIP PHONE <br /> SU�111 I�, ��r�c4c��.. 472o Uje�J Dr+v� ��i�re�rr,�Zo3 ��ZS�X7a-8S76 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> E•MAIL <br /> R T R O L 1�� OD C T I I <br /> �J <br /> CONTR.LICENSE M <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> S �� �' Electric _Gas_Other �/O QaC� <br /> WORKDESCRIPTION }�EP�,- /rep G�C-Q l�G�'fPr W'��G�e SI �hy, ah <br /> rJ1CtI<e S-�'l�c�cfur� n�oY'e o�ea �l,�ry�r��,F c�n�- �eV-e /. <br /> � ���Yrz,v;i,� .fl,� s�renyf� �,� f1...z s c,�p�or-r sys-�-em , . <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C-air handling units <br /> Dathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> J_ Kilchen sink&disposai Gas fireplace <br /> _J_ Dishwaslier Gas range <br /> Clolhes washer Clothes dryer <br /> Water healer Range hood <br /> Sink(servicelbarhnop/etc.) Exhaust fan <br /> Back(Iow preventer Heat pump' <br /> Urinal Unit heater <br /> Drinking Fountain E3oiier <br /> Floor drain , - ^ Refrigeration <br /> Grease Uap �- Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify ihat I have read and examined'���s application and know the same lo be true and correct. All provisions of laws and <br /> ordinances goveming this lype of woik will:a complied with whelher specified herein or not. The yranting of a permit does not presume <br /> lo give aulhority lo violale or cancel lhe?rovision of any olher slate or local law regulating wnstruction or the pertormance of <br /> consiruction. Thal I am authorized by ihe owner of ihis property(o perform the work(or which applicalion is made and I comply with lhe <br /> Slate Cont�clors Law 1827 RCW an 2f9�,200 WFlC, i <br /> < �',y'�_✓; ���%�-�'"� �/6�0 <br /> Signature ot OwnedConlrector/Authorized Agent Date <br />