Laserfiche WebLink
PERMIT APPLICATIVN <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 <br /> SITEADDRESS ,�/ ���D PARCELTAXI.�Dg Q�� PERMITp <br /> �s 7 �"►� !J 2 9'- '�° � J� �ol -� <br /> LEGAL LOTNO. BLOCK TRACT �i <br /> DESC. y $ �/'�G�J v U" — <br /> OWNER ADURESS CITY/ZIP PHONE <br /> E�. e.�� � . � .1.y ����- � ��°,bQ3�' �„.�,�1/r98z� <br /> TENAN AME CONTACTFORPERMIT PHONE <br /> ✓�cn.,, � oc.,iv� �z.s 337�s�s� <br /> CONTRACTOR Di_4y�,Q ACDRESS CITY/ZIP PHONE <br /> Y/ <br /> CONTR.LICENSE p <br /> USE OF BUILD�NG I HEAT SOURCE CONTRACT PRICE OF WORK <br /> ��� ,� _Eleclric _Gas_Olher <br /> WORKDESCRI TION ��� �G�D �% ��'ey M �R�e <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A!C—air handling unils <br /> Balhlub Forcad air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower W aler healer <br /> Kilchen sink&disposat _ Gas Tireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Water healer Range hood <br /> Sink(service/bar/mop/elc.) Exhaust fan <br /> Backllow prevenler Heal pump <br /> Urinal Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Re(rigeration <br /> Grease irap _ Woodstove _ <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that t hav�+read and examined lhis application and know the same lo be lrue and correct. All provisions of laws and <br /> ordinaces governing this typo ot work will be complied wilh whether spacified herein or not.The granting of a permit does nol presume <br /> to give aulhority to violate or cancel the provision o(any olher slale or local law regulating consWction or the performance of <br /> conslruction.Thal 1 am aulhorized by the owner o(this property lo perform lhe work(or which application is made and I comply wilh lhe <br /> Slate Cont�Law 18.27� 1 296.2 WAC. �,� d • <br /> /�/ � � �— ��j "p �� <br /> Signalur� wnedConlractor/Authonzed Agent Dale <br />