Laserfiche WebLink
P��21Vii"i_ A�PL����j�l��l <br />�sITY flF EVER�Ti �ERMIT SERVIGES <br />3200 CEDAR STP.EET, �`JEP.ETT, UVA 98�01 <br />4?_5-257-8810 — FP,X 425-257-8857 w�✓w.everettwa.org <br />APPLICATIONS ARE ACr,EPYED F20PA 8 AM � O 4 PM <br />SITE ADDRESS PARCEL TAX I.D. # PERMIT # � <br />so,s�r�.;{� 34n� I-lokr I��� . S y7C� �� UU i <br />LOirlo. � BLncK <br />DESC. <br />'E?dANT NAM1"E <br />'� CONTRACTOR - <br />; - -.:.C.ii . I ., . <br />j CONTR. LICENSE k, , , �-. <br />. , c. �� ' �. ._. i � <br />I USE OF BUILDMG <br />WORKDESCRIPTION %���1ILZ��, � fIhl,��� <br />� 7.Lai <br />� � <br />� <br />�������''�.1 C����(.!e'��;'.:L('., <br />— PLUMBING <br />�i Np, I TYPE OF FIXNRE OR ITEM <br />_ Toilet <br />Bathtub <br />I Lavatory (e+ash basin) <br />Shower <br />� Kitchen sink 8 disposal <br />', Dishv+asher <br />', Ciothes washer <br />' _ Laundry 'vay <br />, �ink(servicebarlmop/etcJ <br />BacMlow pravenier <br />I_ Urinal <br />�I _ Drinking Fountain <br />Floor drain <br />Grease trap <br />Raof dreins <br />� Other <br />TRACT <br />' Y.'.'.�f.;.i:_ � . ,. . ' . . _ <br />CONTAC:' FOR PERMIT PHONE <br />; L: <br />1r 1 . <br />A�DRESS� CITYZP PHONE ;:, ,� '� <br />. . _ . _ i 1i-i:'P. -. . - � ' . .. ' � ' ' ' <br />r � <br />. . . "r: , � _._ �-' .,. _ <br />HEATSOURCE <br />Electric _ Gas _ <br />( l �rl(�ci�";.�i <br />CONTRACT PHic:t ur wunn <br />�� � �) <br />Other , � � �-� G U ' �' <br />lu� � (�)�✓��-l�«��:rt�,������ <br />NO. I TYPE OF FIXTURE UR ITEM <br />AIC — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas firealace <br />Gas range <br />Cloffies dryer <br />Range hood <br />Exhauetfan <br />Heat pump <br />Unit heater <br />_ Boiler <br />_ Refngeretlon <br />Wocdstove <br />Olher <br />C�TY OF E!!ERETt LOCAL SALES TA% CODE IS 3105 ' <br />hereby ceritify that I have read 2nd examined this application and Imow L�e s2me ro be We and covect All provisions ot laws and �I <br />' crdinaces goveming ihis rype of work will be complied with whetner specified herein or not. The granting of a permit does not presume I <br />ro give a[ithonry to violate or cancel the provision of any other state or local law regulating construction or ffie pertorr��3nce of <br />� constrUctyOn. 7haf 1 am aUthorized-by the owner of ihis property to pedorm the workfor whirh applica5on is made and I wmply vn8� ihe <br />� State CohV�(ors Law 1827 RCW�end 296200 WAC. � � <br />� � �, )/ �� � i�>/�z%�° / <br />I ::�nt!�wneNConvactodAuthonzed Agent ate <br />