Laserfiche WebLink
��RMIT APPLlCATIt�N <br /> CITY OF EVERETT F'ERMIT SERVICES <br /> 3200 CEDAR STREET, E�/ERETT, WA 98201 <br /> 425-257-8810 — FAX 425-257-P857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4�M - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAl(I.D.# ERMIT# ' <br /> t s r �= 5� ZSGS �f�bbzOGbo� � ��'� ' ` <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> �DRr pp Cv�-ir�JT 1�v I�. oX S T� tvtt�I� �� l kzs' zri-3J6 <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> �q.�N r Cizu �vs��« kz5 3a5 b6oy <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# /� <br /> O IZ r 7 • �/�l N 'r S�'h'r <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> �1..� �4� Electric Gas Other <br /> WORK DESCRIPTION <br /> 'JL-'M O <br /> PLUMBING � � MECHANICAL p/� <br /> NO. _. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIX7URE OR ITEM <br /> �_ Toilet _ A/C—airhandlingunits <br /> Balhlub Forced air syslems <br /> 4� Lavalory(wash basin) _ Gas piping <br /> Shower Waler heater <br /> Kit en sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryer <br /> Laundry lray _ Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaust fan <br /> Backllow prevenler _ Heal pump <br /> 3� Urinal Unit healer <br /> Drinkinc� Founlain _ Boiler <br /> Floor drain Re(rigeration <br /> Greaso lrap _ Woodslove <br /> � Roof drains _ Other <br /> Other <br /> CITV OF EVERETT LOCAL SALES 7AX CODE IS J705 <br /> I hereby ceriti(y that I have read and examined this application and know the same to be true and correcL All provisions of laws and <br /> ordinaces governinc�this type of work will be complied with whether specifiad herein or not.The granlinc�of a permit does nol presume <br /> to give authority to violato or cancel tho provision of any other state or local taw regulating construction or the peAormance of <br /> construction.That I am authorized by the owner of this properly to periorm the work for which application is made and I comply with the <br /> Stalo Contracto aw 18.27��WAC. <br /> 6 -6-0 � <br /> Signature oir0 neriContraclodAuth z d Ac�ent Oate <br />