Laserfiche WebLink
i ' � <br /> PERMIT APPLICATION <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 - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS �=: \ 1 L.� � � ' �i " PARCEL TAX I.D.# PERMIT# <br /> ; /UO/ ��� - - Z9o5/800205800 � ) _� <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> ' OWNER ADDRESS CITYIZIP PHONE <br /> � PoRT OF E!/ERETT 29//BOrVO ST. Et/E�ETT 98206 42S-38B-Od o3 <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> I POL/ L U/S 4Z5-388 -0603 <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE A <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Electric Gas Other <br /> i� WORK DESCRIPTION <br /> DEMo��SHEXiST/NG �U/LO/NG No 5C <br /> ��,oys.�E (n���� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Toilel AIC—air handli�g unils <br /> Bathtub Forced air systems <br /> lavatory(wash 6asin) Gas piping <br /> Shower Waler heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher _ Gas renge <br /> Clolhes washer . Clothes dryer <br /> Laundry trey �� � � - Range hood <br /> _ Sink(servicelbar/moplelc.) , , ' Exhaust tan <br /> Backflow preventer � ' Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drain � Refrigeralion <br /> Grease trap Woodstove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> t hereby ceritify Ihal I have read and examined th�s application and know the same lo be true and correct. Ail provisions of laws and <br /> ordinaces goveming this type af work will be complied with whether specified herein or not.The granting of a permit does not presume <br /> ia giva suthority to v' te or cance�the provision of any other slate or local law regulaling construclion or the performance of <br /> �:onstruclion. That I m ut ri ed by the owner of this property lo perform the work for which applicalion is made and I comply with the <br /> ISlate CoNrad rs L 1 . 7 CW and 296.200 WAC. <br /> ' �. 7 ,oS <br /> i Signature of Owner acto Authorized Agent Dale <br /> i <br />