Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-SBt 0— FAX 425-257•8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 2 �8`0� <br /> SITE ADDRESS �7� ��� �� � PARCEL TAX I.D.p PE IT i� <br /> ,� s v u �3 /l�o O o Uv ���l�j� <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISIONp <br /> DESC. <br /> OWNER AUDRESS CITY2IP PMONE Zj <br /> �r.��Doal,4v�� Lc�v�r� �Zl3l )l3�'f1,�i�� fGilzlc.c.f...r� ,�ia�37 q �- <br /> TENANT NAME CONTACT FOR PERMIT PHONE � <br /> 5'�-//- EMAIL <br /> �OATpTiC R / <br /> `7�h D <br /> CONTR.LICENSE p <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �5� ��r i� �����.� _EleUric _Gas_Othcr �•a� ���J '�� <br /> WORK DESCRIPTlON <br /> �. -, 1 �.rw ����o � N � � nr�� ��u� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Toilet A/C-air handling units <br /> Oath!ub Forced air systems <br /> _ Lavarory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen s�nk 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Water heater Rangc hood <br />, Sink(scrvicclbadmop�etc.) Exhaust fan <br /> Oackflow preventer Heal pump <br /> Urina� Unit hcater <br /> Drinking Fountain Boiler <br /> 'L Foordrain Refrigeration <br /> Grease irap Woodslove � <br /> Roof drains Othcr <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA7(COOE IS 9105 <br /> I hereby ceritily that I have read and examined�his applicalion and know the same te be true and correcL All provisions of laws and <br /> ordinaces governing Ihis type of work will be complied wilh whether specitied herein or not.The granting of a permit does not presume <br /> to give authOnt o violale or cancel Ihe provision ol any olher state or local law regulaling construction or the perlormance of <br /> consiruction.T at I am authorized by the owner of Ihis property to perform the work for which application is made and I c�mply with the <br /> S�t�ate Contra ors Law 1827 R an 296200 WAC. <br /> }j�� <br /> Signalu of Ownd iContra or Authonzed� Date <br /> -- — \I <br />