Laserfiche WebLink
PERMIT APPLICATION <br /> CITY OF EVERETT 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 //"G�`./� <br /> SITE ADDRESS PARCEL"i AX I.D.# PERMIT# <br /> , 1 �-I�IPc�}(� (.c� � ' oD I C�I M _ z.S <br /> LEGA LOTNO. BLOC TRACTORSUBOIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> C.c��,ra S�c�ez -7S 1 `� -l-l.�czlti�rt,vc� �1�3 a' �i��.r����T <br /> TENANTNAME CONTACTFORPERMIT PHONE <br /> E�MAIL <br /> OR ADDRE C IZIP P O <br /> o-r��,�.a�lcx�;n� �t61� �c,.�c�r�anl�x�� ��uQ�t l� zSz, ►kd� <br /> CONiR.LI SE# � <br /> i�G�.�cC,:�1�'��I(v�i�S/k <br /> USE OFBUILDING HEAT SOURCE CONTRACT PRICE OF VVORK <br /> 5F� — — v <br /> Electric Gas Other `p� ��v -- <br /> WORK DESCRIPTION - <br /> \v���e�\1�r� ���� �o�n�l e.�-_ � ru��,��.> <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM ' NO, TYPE OF FIXNRE OR ITEM <br /> Toilel A/C—air handling units <br /> Bathlub � Forced air systems <br /> Lavalory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clothes washer Clothes dryer <br /> Water healer Range hood <br /> Sink(service/badmop/etcJ Exhaust fan <br /> BackOow preventer Heal pump <br /> Urinal Unil heater <br /> Drinkin� Founlain Boiler <br /> _ Floordrain Refric�eration <br /> _ Grease lrap Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriti(y thal I have read and examined this application and know the same to be truo and correct. All provisions of laws and <br /> ordinaces goveming this type of work will be complied with whelher spocified herein or not.The granting of a permit does nol presume <br /> lo give aulhorily to violate or c2ncel the provision of any other slate or local law regulating construclion or lhe performance of <br /> construction.That I am authorized by the owner o(this property to pedorm the work tor which application is made and I wmply with lh <br /> St ontractor a 1�$.�RCW ant1296200 WAC. <br /> �' I/- ��� <br /> �--- <br /> Si t e Owi dContr or orized gent Date <br />