Laserfiche WebLink
PtRMIT �►PPLICA�IU�1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER�TT, WA 98201 <br /> 425-257-8810– FAX 425-2.57-8857 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS �{- PARCEL TAX I.D.# � P RMII� _ . <br /> S ! liy - o �- � - oo � l � l- � � <br /> LEGAL LOT NO. BLOCK TP.ACT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CIN/ZIP PHONE <br /> IA�ikAnN $ �nni� (<7�it�5� k9�1 f-/vII�J �t. Fz:elf �j$��liS 3� 3� a�3 <br /> T�TNAME CONTACTFO PERMIT PHONE u�r_ �a7'���V <br /> . � .� <br /> �'� (.'Ii1�L � �������-� �(,Q��y r�1� ke. 1�rse�11 E•MAIL _ <br /> CON A'T��R��^ `�S,f• aO��O A�E►C��G�/`75 JX���'p�0 CIN/tIP PHONE <br /> r� � y ��e�t+ y�aaY yas-ja�-a�� <br /> , CONTR.LICENSE# <br /> I L/-��SFC -#� �DIDH- — <br /> USE OF BUILDING � HEAT SOURCE �CONTRACT PRI�E UF WORK <br /> ev <br /> I ��S� f��l�L� �Electric _Gas_Other "7� SD� <br /> A <br /> WORK DESCRIPTION L • <br />;;;;, Cf�yO,,ne15 " �obr�r� — $mo6f u1a�� <br /> PLUMBIN� MECHANICAL <br /> NO. TYPE OF FIXTUR_OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling units <br /> Bathlub Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler healer <br /> Kitchen sink&disposal _ Gas(ireplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Water heater Range hood <br /> Sink(servicelbadmop/elc.) _ Ezhaust fan <br /> Back(low prevenler _ Heat pump <br /> Urinal _ Unit healer <br /> Drinking Founlain _ Boiler <br /> Floor drain Refrigeration <br /> Grease trap _ Woodslove <br /> Roof drains Other <br /> Olher <br /> CITY OF EVERETT LOC:AL SALES TAX CODE IS 3105 � <br /> I hereby ceritify thal I have read and examined this application and know the same to be lrue and correcL A'I provisions of laws and <br /> ordinaces governing this type of work will 6e complied with whelher specified herein or noL The granting of a permil does not presume <br /> to give aulhorily lo violate or cancel the provi;ion of any olher slate or local law regulating consWction or lhe peAormance of <br /> construclion.Thal I am authorized by lhe owner of this property to perform the work for which application is made and I corply wilh the <br /> State Contrectors Law 1827 RCW and 296.20D WAC. <br /> ���'- ���,, ��� q -v� <br /> Signature of OwnedConlract�Nu honzed Agent Date <br /> -a.,. �Fr <br /> .. r . : �t�°`�y� "vr' 1 <br /> .. �y t`t�s x 3 5 ';1 4*r}�' � }v�"�� i '��+.>�� � <br /> �r�.Y�vsj�� 7# 1 ���1.+ : ,, }�i51�V ' �. f1jF � . <br /> y°'y�����f������ 6�' � � fi ¢ � �fri'��� <br /> ss. t ltz�, , �< �-y, a s� � f� 7 <br /> , H;r_,l�� � :s d` , 3�� ,: r ;�,�i� <br />