Laserfiche WebLink
� <br /> � � � �„ '�c. ;G�F G <br /> SeD. 2F. ?!1U � : 4�r� <br /> PERMIT APPLICATION <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERE i T,WA 98201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.orc� <br /> APPI.ICATiONS ARE ACCEP7EA FROM 8 AM TO 4 PM <br /> SITE 1�DRESS ' N�� � �� O I P�RCEL TAX I.D.# �E��_ /\ <br /> Ll_tJ � V <br /> LEQAL l0T N0. DLOCK TRACT OR SUODIVISION# <br /> DESC. <br /> pyyp��,� AODRE93 CITY/ZIP PHONE <br /> ����i 0 U sarv�2 aS aboVe 20�0 48 N 2q�o <br /> TEtJANTNAME I CONTAGTFORPERMIT PHONE�'Z�a Z. � <br /> �'�e �� E.M��� eiai�ie@Cmh�.��ir�:. . c�r�i <br /> --�rr� ��-V�i93ro � e=v�''eit �iY�?.c�i G � .� <br /> CmNPa'r�c� f��c- � 12525 ���6� <br /> CONTA�ICEI SE ���R� <br /> USE OF BUILDING � HEAT SOUACE CON7RAC7 PfiICE OF WORK <br /> C-,;��'` I �Electric ✓Gas,�.Othor 3 $� y <br /> WORK DCSCFIIPT�ON <br /> Q�.��p,CQ g�5 -�urr�ae,c� <br /> PLUMBING MECHANICAL <br /> ��0. TYP�OF FIXTURE OR ITEM ND. TYPE OF FIXTUAC-OR ITEM <br /> Toilet _ A/C—airhandlingunils <br /> Balhlub _ Forced air sys�ems <br /> Lavatory(�vash basin) _ Gas pipinp <br /> Sho�ver Walar heater <br /> Kitchen sink&disposei � Gas lireplace <br /> � Disliwa&her _ Gas range <br /> Clolhes washpr ,. Cblhes dryer <br /> Wuter heater _. Range hood <br /> Sink(sorvice/bar/mop/atc.) _ Ezhausl fan <br /> Backllow prevenler _ Hest pump <br /> Urinal Unil heatar <br /> prinking Fountain � Boiier <br /> Fioor drain _ Re�rigeratio� <br /> Grease irap Woodslave <br /> Root drains � Olher A`.� {�'l0.C�i <br /> Olher — <br /> CITY OF EV�RETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerlllly that I have read and azam�ned this applica!ion and kno�v the same to be Irue ar,d cotrect. AII provision;of la�vs and <br /> ordinaces goveminfl this lype of viork wlll be compiiad with whothar;pocilioq horein or nol.7ha granting o(a permh does not presume <br /> to give awhoriry to violate or cancel Iho proviciun ot any other state or local law repulaling conslructlon or the per(ormance ol <br /> construction.That I am puthorized by the owner ol ihis property to porform the work tor whi�h application is made and I comply with the <br /> Stale CoNractors Law 10,27 RCW and 29G.200 WAC. <br /> : f � � g� .�5� 13 <br /> Slgnatu ot OwneNCop aclor/Aulhc rz Agonl ��te <br /> , l� <br /> L--- <br />