Laserfiche WebLink
r <br /> , _ _ <br /> -- — -- <br /> _ -- <br /> - _ _ -- - ---� <br /> � PERM17 APPLi�ATIt�N <br /> � <br /> C�TY OF EVERETT PERMIT SERVICES ,3_d1_n5 <br /> I3200 CEDAR STREET, E\�ERETT, WA 98201 <br /> , 425-257-8810— FAX 425-257-8857—wwv+.everettwa.org , � <br /> � � l�i�, ��'�..i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE MOT ACCEPTED <br /> SITE ADDRESS �i����^�-' PARCEL TAX I.D.# ,�✓� PERMIT# �%/� <br /> _,�;��= w .�.� ��-os, �oo ya��� �°l - t� <br /> LEGAL LOT NO. Ei.00K TRACT <br /> DESC.r _ <br /> OWNER A�DRESS CITY2IP PHONE <br /> C�4 9•�LL4-(797 <br /> S�f�a�F'��- �'�M 4eiPS � � s.w. �•��ti st�e�F Nc��..aL��,ti �sY�� �s�-moo — <br /> TENANT NAME J CONTACT FOR PERMIT PHONE <br /> �Ps�"�&o�Qt��i�{�y.'r�( � P�fJrw'F CGc��it ,L�rns S'as- S'6�-/` S�S <br /> CONTRACTOR S � ADDRESS7S /30� � CITY2IP PHONE ' <br /> DP«o� �3 c �. y'as- �,� <br /> CONTf2.LICENSE il $�'� c'�QQ / �,�av P /,- �f�,+�'JS 1 i <br /> S 17D E� cc.� /d�N r . � u , til _ p y-Yovr -- <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Nft�! she�� �u�7�iS -QC��, � I _Electric �Gas_Other __ <br /> WORnK UES1CR�IP,TLION // � <br /> L'dr�$tYav""�w � Nw„v S�iQf� �iC4�s�"w^S . �r,vrw /' ��O�r✓t... � �D.tf�9�t Uti/�Y� <br /> / �l � <br /> ff�Oliu�G l`o�ti' � �w�Pr aS'�P, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> _ Toilet _ A/C-air handling units � <br /> BalhWb Forced air systems � <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater 'I <br /> Kitchen sink&disposal _ Gas fireplace <br /> Dishwasher _ Gas range <br /> Clothcs washer CbUies dryer <br /> Laundry lray _ Range hood <br /> Sink(service/bar/mop/etc.) _ Exhaust fan <br /> Backitow preventer _ Heat pump <br /> Urinal _ Unit heater � <br /> _ Drinking Fountain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodstove <br /> Roof drains Other <br /> Other <br /> �I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceritify that I have read antl examined this application and know the same to be true and correct. FlII provisions of laws and <br /> ordinaces governing this type of work will be coinplied with whether specified herein or not. The granEng of a permit does not presume <br /> to give authority to violate or cancel the�,rovision of any other state or local law regulating construction or the performance of <br /> construction.That I am authorized by the owner of this property to perform lhe work for which application is made and I c�mply with the <br /> State Contractors Law 182'RCW and 296200 WAC, <br /> �� --- �i��� <br /> Signa wnedContractodAuthorized Agent ate i\ <br /> lj <br />