Laserfiche WebLink
� ' —_—_.___ i <br /> PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES �� ,.o ��v S I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810- FAX 425-257-d957-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM ��/n �� II <br /> SITE ADDRESS PARCEL TAX I.D.# i'PERMIT# <br /> 1 'l� ( 1 r I <br /> � ")1 .J�� �-..i�l'fPIT I�111.11 `'v';L, ���"�i� � ; i .y._(il � <br /> LEGAL LOT NO. BLOCK TRACT . - <br /> I DESC. <br /> OWNER AODRESS CITY2IP PHONE <br /> � � <br /> �-�'i�.,.c�'�'o''.1- �C:��l ;n i2`i aU� 'C �l_' r� � � ;} ;� "ivJ pd j � {` � �.'( �� <br /> 1"` .�_ � �L �� c' 21:J �E:� 1�X'tl(' � L ..� <br /> TENANT NAMF CONTACT FOR PERMIT PHONE <br /> ������ rr�,.=f- I h-kt�lti 1���� I>.�1�.��( � � <br /> CONTRACTOR . ..!. AODRESS CITY/ZIP PHONE II <br /> C�li=(�-c2,{ ',I^';IT�i[.�l'� <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> ���-��` � _ _Electnc _Gas_Other `� � � n���> <br /> WORK DESCRIPTION � <br /> .i�{-�+�.��L `i11�1�11� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet AIC—air handling units <br /> I _ Bathlub _ Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink&disposal Gas fireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(service/badmop/etc.) Exhaust fan <br /> BackFlow preventer Heat pump <br /> Urinal Unil heater <br /> _ Urinkmg Fountain Boiler <br /> _ Floor drain Refngeretion <br /> Grease irap Woodsrove � <br /> � Roof drains Olher ; <br /> _ Other _ � <br /> — — I <br /> i <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I hereby ceritdy ihat I have read and examined this application and know ihe same to be lrue and correcc All provisions uf laws and �I <br /> orninaces governing this type of work will be complied with whether specified herein or not.The granting of a permit does not presume i <br /> b 9ive authonty to violate or cance�the provision of any other state or local law regulafing construUion or the perfortnance of <br /> constructio^ That�am authorized by the owner of this property to perfortn the work for•rihich applicaLon is made and I comply with the <br /> State Contractors Law 1827 RCW and 296200 WAC. <br /> S�anature o(OwnedConiractor/Aulhonzed Agent Date <br /> _- . ______ ___— __. _ ._ _ . __. . _ . . ._ __.. _ __ .__—_._—_.--- __ _._. _ � <br /> ti <br />