Laserfiche WebLink
­w *U <br />PERMIT APPLIGATIOIN <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 />SITE ADDRESS <br />PARCEL TAX I.D. # <br />�L� <br />P MIT # <br />7 <br />�. NwkN <br />JC <br />LEGAL LOT NO. <br />BLOCK <br />TRACT <br />DESC. <br />_ <br />OWNER ADDRESS CITYIZIP PHONE <br />LlpiY,lGLi� <br />_T_ <br />TENANT NAME CONTACT FOR PERMIT PHONE <br />C Q LAd <br />CONTR TOR ADD� <br />� CITYIZIP PHONE <br />((lltec{�cA,r�((u JJN�cllnt�d <br />�zS-- <br />CONTR. LICENSE 1�,., �� .�� C-) —7 <br />USE���EJOF BUILDING <br />f IEAT SOURCE <br />CONTRACT PRICE OF WORK-1 <br />/Eleclrc 4—Gas Other <br />,l'� (�.��� ,l)v <br />WORK DESCRIPTION <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ <br />A/C — air handling units <br />Bathtub <br />_ <br />Forced air systems <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />Shower <br />_ <br />Water heater <br />_ <br />Kitchen sink $ disposal <br />_ <br />Gas fireplace <br />_ <br />Dishwasher <br />_ <br />Gas range <br />_ <br />Clothes washer <br />_ <br />Clothes dryer <br />_ <br />Laundry tray <br />_ <br />Range hood <br />Sink (service/bar/mop/etc.) <br />_ <br />Exhaust fan <br />Backfiow prevente, <br />_ <br />Heat pump <br />_ <br />Urinal <br />_ <br />Unit heater <br />_ <br />Drinking Fountain <br />_ <br />Boiler <br />Floor drain <br />_ <br />Refrigeration <br />Grease trap <br />_ <br />Woodstove <br />_ <br />Roof dr�vns <br />_ <br />Other <br />OlheC- <br />1 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />1 hereby ceritify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinates governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />i to give authyrily to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />for is made and I comply with the <br />authorized,- he owner of this property to perform the work which application <br />Slate tdrs La27 R nd 2 . 00 WACC..(/ <br />conslruc'6n. TTh�at I a7'k <br />rntrac <br />lI <br />11 <br />Signa Contractor/Authorize n6 Dale <br />