Laserfiche WebLink
PERMIT APPLICA►TION <br /> CITY OF EVER�TT PERMIT SERWICES <br /> + 3200 GEDAR STREET, EVEREl-T, WA 98201 <br /> � I 425-257-E810- FAX�25-?57-8857 -www.everettwa.org i <br /> APPLICA?IONS ARE ACC[PTED FROM 8 AM TO 4 PM I <br /> SITE ADDRESS PARCEL TAX I.D. # PERMlT <br /> _7• � ��w�v� �� , G ;��`ry�Z�"i�G09C� �N ��� - 003 <br /> LEGAL LOT NO• I 6LOCK TRACT OR SUBDIVISION R <br /> DESC. � <br /> OIYNER ADDRESS CITY2IP PHONE � <br /> ti'�n�Ni- �'rnrTH `;.3� ✓c�N�v� v,e 95� y��53-3.��.2 i <br /> fENANT NAh7E CONTACT FOR PERMIT PHONE <br /> �/�� j/() ��Z�i-�7✓-(c�/(cC� � <br /> /�-1.�}-� !`�L'�LIF� E•MAIL <br /> CONTRACTOR ADDRESS CITY/ZIP PHONE <br /> 1��{ti d �', � pc_mci(T d NTG. Jl�(lN l��tf Ati�-�t� ,�n�n/i,�,�UoD �25-775��/�f� � <br /> CONTR.LICENSE�3D�IYNT!'I���/yCI�='� G�"- �� <br /> UJE OF BUILDING IIEAT SOURCE CO'(LJTRACT PRICE OF WORK <br /> � _Eleclric �Gas_Olher •� �I�UJJ���'U '� <br /> -• � <br /> I N10RK DESCRIP710N I <br /> ��Pcs�c� �.rrsn.v�- Gits �e�',v.� u/�TH N� C�ts q�,e„�4c� � <br /> J�/ 5A�'+� LG�cA-n.c�N, <br /> PLUMBING MECHANICAL <br /> INO. TYPE OF FIXTUf7E OR ITEM NJ. TYPE OF FIXTURF OR ITEM <br /> � -� 1��i��,� A/C-air handling units <br /> 6athtub � Forced air syslems <br /> Levalory(wash bas��) _ Gas piping i <br /> 5howar _ Waler healer <br /> Kilchen sink&disposal _ Gas(ireplace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clnthes dryer <br /> Water he2ter _ Range hood <br /> Sink(serviceNar/mopletc.) __ Exhaust fan <br /> Backfiow prevenler _ Heat pump <br /> I _ Urinal = Unil healer I <br /> Drinkinc� Foun�ain Boiler <br /> Floor dre�n _ Refrigeration <br /> Grease trap . ,_ Woodslove <br /> Roof drains Otiie� . _ <br /> ' _ Other__ _ — <br /> I — — — <br /> �� CITY OF EVERETT LOGl�L SALES l'AX CODE IS 9105 I <br /> -- � <br /> I hereby ceritify that I havo read and examined this applicalion and know lhe same to be true and correcL All provisions of le�vs and <br /> � Iordinaces goveming this iype o(work will be complied wilh whelher specified herein or noL The granling of 2 permit does not presume <br /> tu�ive authority to violata or cancel the prnvision o(any olner state or local law regulaling conslruction or lhe performance o( <br /> -onstrudion. That 1 am authorized by lhe owner u(this property to perform lhe work for which applicalion is made anA I comply wilh lhe <br /> State CPylracturs La�v 18.?�RC and 2'J6.200 WAC. I <br /> ' ,' 1 �-� f. � a ; �� _ �I <br /> Siynal e OwnedContr rlor/ ulhor¢ed Agent n��e I <br /> II <br /> ---------- <br /> — — —- -�-------_�� <br />