Laserfiche WebLink
PEt2MIT APPLICATION <br /> CITY OF EVER�TT 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 /> SITE ADDRESS PARCEL TAX I.D.# PERMIT q <br /> o r� Ave ao4378�04� Ioo 1 � , <br /> LEGAL LOTNO. /B�LOCK TRACT �--^ <br /> DESC. 1C� � � � lP� ^ � +—� e ` <br /> �.—v . � <br /> OWNER ADDRESS CITYIZIP PHONE aS <br /> � dr� M��-�.es a9�3 EveYe1� �ve. Evere�q$aol asa ga6� <br /> TENANT NAME CONTACT FOR PERMIT PHONE O �"' <br /> a sa 9793 <br /> rilfS.Sci�1e �Sn��'Y� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE M <br /> (i'/.� 1 � <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> �A�K Ca�$ Eleclric _Gas__Olher <br /> WORK DESCRIPTION <br /> B u�1c� �qto�c�e 7 I�... <br /> �� � �.. �1'1��� �� - `J � <br /> ,; <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR�TEM <br /> Toilel AIC–air handling unifs <br /> BathWb Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower W aler heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Waler heater Range hood <br /> Sink(service/badmop/elc.) _ Exhaust fan <br /> Back(low preventer _ Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiier <br /> � Ploor drain _ Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br /> I hereby ceritify thal I have read and examined lhis application and know the same to be hue and correcL Ail provisions of laws and <br /> ordinaces goveming lhis type ot work will be complied with�vhelher specified herein or noL The granting of a permil does not presume <br /> to c�ive authoriry lo vioiale or cancel lhe provision of any olher stale or local law regulalinc�conslruction or the periormance of <br /> construction.That I am authorized by lhe owner of this property to pertorm the work(er which applicalion is made and I comply with the <br /> Slale Contraclors( aw 18 27 RCW and 296.200 WAC <br /> � Q.� 1 C-9 , � �� ^��'� ��lo <br /> �J d�Q�,IY <br /> Signalure o(OwnedConiraclodAuthorized Agenl Dale <br /> `IL <br />