Laserfiche WebLink
�cRMIT APPLICATIVN <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857-vwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S ��O—O5 <br /> SITE ADDRESS PARCEL TAX I.D.N ERMIT t <br /> � ,��>y ,,.z -033 <br /> LEGA LOT NO. BLOCK TRACT OR SUBDMSION It <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> ���k �.��;�,zk ,� �� 3ox � �Zu ����,P1ti- �h g 82� yzs 330-�>>3 <br /> 7ENANTNAME CONTACTFORPERMIT PHONE <br /> �A•�-� SC w-c _ � Ei1NL <br /> CONTR.LICENSE X <br /> Sti •'�,..�_ <br /> USE OF BUILDING — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Eleclric Gas_Other �/���j <br /> WORK DESCRIPTION <br /> S�r��f„ru ( VPYr��-C <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FUCTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet A/C–air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kilchen sink&disposal Gas tireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clothes dryer <br /> Water hoaler Range hood <br /> Sink(service/bar/mop/etc.) Exhaust(an <br /> Backflow prevenler Heal pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap Woodstove <br /> Roo(drains Olher <br /> Olher <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3705 <br /> I hereby ceri6fy Ihat I have read and examined this application and know the same to be hue and cortect. All provisions of laws and <br /> ordinaces governing Ihis type of work will be complied wilh whelher speciTied herein ar nol.The granting of a permit does not presume <br /> to give aulhority to vioiale or cancel the provision of any other stale or local law regulaling construction or the perfortnance of <br /> construc�ion.Thal I am ut orized by the owne f this property lo perform the work for which applicaUon is made a�d I comply wilh the <br /> State Conlraclors L 1 CW an 296. WAC. <br /> �._ l.r' � s ' Zo_� � <br /> Signatu e of Own�qCo� c dAuthon'zed Agenl Dale ��Z <br />