Laserfiche WebLink
PtRMIT APPLICATIUN <br /> CITY OF EVERFTT 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 a _ �.Q -O5 <br /> SITE ADD RESS � PARCEL TAX I.D.# PEkMIT# <br /> a�q t�flyT hv�-, �vSo �-�ZY <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> Nzs- azo- <br /> CQ.f1`LG 5. MPc�=�'�S �VC�E"�T �1��'D l 4Glo <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> .� S�n��. '� � S�M� " �I2s- Z59-GYZ9 <br /> CONTRACTOR Qv�J�JF,Q, ADDRESS CIN21P PHONE <br /> CONTR.LICENSE i! <br /> USE OF(�9UILDI�G HEAT SOURCE i CONTRACTyPRICE OFy�OS K <br /> p �c��w, Ur�'u+ � '�'4' <br /> �-e�. '�lA� _Electric K Gas_Olher f �-,�,,�� <br /> WORKDESCRIPTION �1 t � o �oo,� �„•-�-� II �j�y P'�Ch '�'vS�icS, �'r�a��o <br /> ��IGr..cti.�� c� _�:ch, raw..c�l' L ��/1 J l l <br /> ��J.Yr� �jpCLc..G I �+GJc(`i�oc� . NGw r']\-G1�CQgL� O..rX <br /> rL .o�.�• l6k S-�w w�,��s ,...;-t� wo�cf, � �zc.�l-c,�g � es�s. <br /> PLUMBI G MEC ANICAL <br /> NO. NPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C—air handling unils <br /> Ba1hWb Forced air syslems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Waler healer <br /> Kilchen sink 8 disposal _ Gas(ireplace <br /> Dishwasher Gas ranc�e <br /> Clulhes washer Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/badmop/elc.) Exhaust fan <br /> Backllow prevenler _ Heal pump <br /> Urinal Unil heater <br /> Drinking Feunlain _ Boiler <br /> Floordrain _ Refrigeralion <br /> Grease trap _ Woodstove <br /> Roof drain� Olher <br /> Olher <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerilify lhat I have read and examined this application and know the same to 6e true and correcL All provisions of law�and <br /> ordinaces goceming this type of work will be complied with whelher specifed herein or not.The granting of a permil does not presume <br /> to�ive authorily lo violate or cancel the provision of any other state or local law regulaling conslruclion or the pedormance of <br /> conslruction.Thal I am authorized by the owner of this properly to peAorm lhe work for which application is made and I comply wilh the <br /> Slale Co trectors LaW 18.27 W and 296200 WAC. A <br /> ' !'rv vs� (� 2�oS �/ <br /> Sic�naWre of Owne Con rac[orl uthorized Age ate L <br />