Laserfiche WebLink
PEt2MIT Ai�P'LiCATlON <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS A�.E ACCEPTED FROM 8 AM TO 4 PM S "�—d� <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> ��4, �� `Plil��%l.�Q .'�✓c 1 �G"lo5-co"3 <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. <br /> OWNER � ADDRESS CITY2IP PHONE <br /> r– , � <br /> �,✓ �o�����,s � sJar �r8� ��,,,�.�c��8a,9 �- s�s-- io�� <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> ,��j29� <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.LICENSE# /�n <br /> / I.L r"✓� S� /l� �l��"/�'� <br /> F— <br /> USE OF BUILDING HEAT 30URCE CONTRACT PRICE OF WORK <br /> _Electric _Gas_Olher <br /> WORKDESCRIPTION Q��pL�cr E;X/f%��/� �/fc✓f1i✓iZr"Q ��ii✓�j ` �E:O�Ate /.c�iTtl <br /> " �x Tu << <br /> /JFi,.J ,�E�'/���c" ,v.r�i✓�•. �1frtA�c ,r ,,, <br /> PLUMBING MECHANICAL. <br /> �!O. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEIA <br /> % Toilel A/C–air handling unils <br /> � Balhlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> / Kitchen sink&disposal Gas fireplac.• <br /> Dishwasher Gasrange <br /> � Clothes washer _ Clolhes uryer <br /> Waler healer __ Ranga hood <br /> Sink(service/bar/mop/elc.) Exhausl fan <br /> � Backflow preventer _ Heal pump <br /> Urinal Unit hoater <br /> Drinking Founlain Boiler <br /> Floor drein Refriaeration <br /> Grease trap Woodslove <br /> Roof drains Olher <br /> Olher <br /> CITY OF EVEREI7 LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify that I have read and examined this applicalion and know the same to be Uue and correcl. All provisions of laws and <br /> ordinaces governing lhis type of work will be complied wilh whether specified herein or noL The granling of a permit does not presume <br /> to give aulhority to violate or cancel lhe provision of any othsr slate or local law regulaling construclion or the performance o( <br /> construction,That I am aulhorized_by tho owner o(this properly to perform lho work for which applicalion is maGe and I comply with the <br /> Stale Conlractors Law-1t327 RCW and 290.200 VJAC. <br /> (!�,�� 1 <br /> �� ..��Y�c'�i--�'� �/� � � <br /> Signalare o OwnedConlraclor/Authorized Agent Date <br />