Laserfiche WebLink
P�,ZMIT APPLICATIG�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org �O `�� �( / <br /> �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> SITE A�DRESSr� PARCEL TAX I.O.# PERMIT# <br /> 3Z(C� G o ��bGr� ��.y O U-GO <br /> LEGA LOT N0. BLOCK TRACT <br /> DESC. <br /> OWNER AD�RESS �5�c` � CITY2IP PI10NE <br /> sh,,���� �,<.l�z�� l �so� � Q� �'�`1�� N�'_.� ����� ,w� `�803�1 <br /> TENANT NAME CONTACT FOR PERMiT PHONE <br /> CONTRACTOR ADDRESS CITYIZIP PHONE <br /> CONTR.LICENSE# � �� <br /> USE OF BUILDING � F1EAT SOURCE CONTRACT PRIr,� OF WORK <br /> _Electric v Gas_Other y�� <br /> i �"� " ' <br /> WORK DESCRIPTION /,��_�'1;p�.�.�,AL�-��—�+� �crt } ��-I�,-� � �-7-rr�b� <br /> U lJ <br /> .�(�j �� , - — <br /> tr� E" . � � (�-� - °�' �:�i � �� / f � � k/.�� <br /> �/Kv ... :N�OV3S ��.;�..._ A1 "_�� ���a�.�r �IX�G (l/✓ �.f/� �,'.!A''JiV r�� �.r✓ ,` <br /> I � ��� � �.ICV � a i \ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 3 Toilet A/C-air handling units <br /> Bathtub k Forced air syslems <br /> Lavalory(wash basin) L Gas piping <br /> hower Water heater <br /> � 'chen sink&disposal _ Gas fireplace <br /> II Dis asher �� srange - <br /> � Cioth washe� Y Clo es dryer <br /> 'i Laundiy ay �_ Rang ood <br /> 'i ) Sink (serv•i /badmop/elc.) y_ Exhaust n <br /> i Backflew pre ter _ Heat pump <br /> Urinal _ Unit heater <br /> j Drinking Fountain _ Boiler <br /> Floor drain _ Refrigeration <br /> Grease irap _ Woodstove <br /> Roof drains _ Olher <br /> Other _ — — <br /> CITY OF EVERETT�OCAL SALES TAX CODE IS J105 <br /> I hereby ceritify that I have read and examined lhis application and kno�v the same to be true and correct. A.II provisions of laws and <br /> ordiraces goveming this type of work will be complied with whether specified 'nerein or not.The granting of a permit does not presume <br /> to give authonry to violate or cancel the provision of any other stale or local taw regulating construction or the performance of <br /> consiruction.That I am authorized by Ihe owner cf this property to perform the work for which application is made and I comply with the <br /> St3te Co Vactars Law 1827 RCW and 290"200 WAC. <br /> _ _ �% � � ' /c�-�l `G7� <br /> �ignature of OwnerlContracrodAuthonzed Agent Date <br />