Laserfiche WebLink
� � <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U 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 PARCEL TAX I.D.# PERMIT N <br /> l�lll �c��. .� ��v�� ��� i-� O(�133;�ODot� 3�I �;c� �/UU7- � <br /> LEGAL LOYNO. BLOCK TRACTORSUBDIVISIO1N'x <br /> DESC. � D�O -OL� �.i'1�7��LyYlUI'-Y ;}-�',�t �\1S <br /> OWNER ADD SS � CITY2IP PNONE <br /> '-�e l,l�_ , �'��� lc���. 0 Sc� v��-e, y aS- 3�� � _��I o� . <br /> T ANT NAME CONTACT FOR PERMIT PHONE Lf�-S—SU(i; �,�{iiJ� <br /> i �1,��.. �J C-� I i <br /> E•MAIL�v��C¢1 f]tFlt'. �'ci,Fl rl•. c? v� <br /> N R — <br /> I ll <br /> �x�l�>ti� 2�:UE ,� ,� C�1�. �;1�c,�y �;3��'� �� l!�� u�� o--LL `iSZ'� `f�S— <br /> t:ONTR.LICE SE ri •, <br /> j'�l 11�,`( I�-.L I�:? C.�Z �"Z'(c�� ��-C,C�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��{-`5� �"L�'� l �-� _Eleclric _Gas_Other �-7,��S•��Z� <br /> WORK DESCRIPTION <br /> 7 . <br /> k.,: �'c��•;� - �F�ri�,� �^� �- r�'y�la��. .�'�� �s�fi �-�. r-c�t�f- <br /> , <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C—air handling units <br /> _ Bathtub I Forcedairsystems <br /> Lavatory(wash basin) Gas piping <br /> Shower Waler heater <br /> Kitchen sink&disposal Gas frep!ace <br /> Dishwacher Gasrange <br /> Clothes washer Clothes dryer <br /> Waterheater Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> BackAow preventer Heat pump <br /> Urinal Unit healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease trap Woodstove <br /> RooF drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES 7A%CODE IS J105 <br /> I heieby certify that I have read and examined this application and know the same to be true and correct. All provisions ot laws and <br /> ordinances governing this type of work will be complied with whether specified herein or not The granting of a pertnit does not presume <br /> to give aulhonty to violate or cancel the provision of any other slate or local law regulaling construction or the performance of <br /> conslruction.That I am aulhorized by lhe owner of this property to perform the work(or which 2pplicatior,�e made and I comply with the � <br /> State Contractors Law 18.27 RCW and 296200 WAC. <br /> ��,'�_ t`Z��Lc_. � —? - I I L <br /> Signature of OwnedCoM�a ror/Authonzed Agent Date <br />