Laserfiche WebLink
�' ( ( <br /> .-� <br /> 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 -DEBIT 3 CREDIT ChRDS ARE NOT ACCEPTED <br /> SITE ADDRESS PARCEL TAX I.D.N � PjeJtM1T N b _ <br /> (� � N E�J i rr v4�E Gv ����( �i � 3�3 r�3� v� . fc �� <br /> IEGAL LOT NO. B!_OCK TRACT <br /> DESC. <br /> ONMER ADDRESS CITYZP PHONE <br /> TENANTNAME CONTACTFOFiPER1A�T b PHONE <br /> ;�, <<,Pa ���_„� cl.�,������l�P� <���,�e,�-�,�a� ��s- r► -7z� <br /> C9 NT CTOR DDRESS CITY PHONE <br /> 1!�:r.e.2 �-,��«s�-a;es lfj`�3'S l��y�,�;� AaeS T:.1F..a� �c� 4Z5 'ZSf- 18c10 <br /> CONTR.LICENSE R q9���1" <br /> I?c..►JIItDb6f��(12/31�aA� C��.e� ' 02373� �IZ�31�� � �� <br /> USE OF UILDING HEAT SOURCE CONTRACT PRICE OF WORN <br /> ����'e _Eledric _Gas_Other ��� �, �� <br /> WORK DESCRIPTION / <br /> _� ��.'J����� �� � r5� �� x ���� ��Ji��e\�f �1i �''l`�LI)L�� �ICS <br /> G <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYVE OP FIXTURE OR ITEM <br /> Toilel AIC-air handling units <br /> Bathtub Forced air systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal Gas freplace <br /> Dishwasher Gas range <br /> Clothes washer Clothes dryer <br /> Laundry tray Range hood <br /> Sink(sernce/bar/mop/etc.) Exhaust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refigeralion <br /> Grease trap VJoodstove <br /> Roof drains Other <br /> Other <br /> CITV OF EVERETT LOCAL SALES TA%CODE IS 110b <br /> I herehy ceritify at I have read and mined this application and know the same to be true and correct. A�I provisions of laws and <br /> ordinaces gove i this type o wo , ill 6e complied with whether specified herein or not.The granting of a pertnit dces not presume <br /> t ive authonty o iolate or ca cel provision of any other state or local law regulating conshuction or the pedormance of <br /> n ruction.Th I am authori ed ' the owner of this property to peR th ork for which application is made and I comply with the <br /> ate ontracrors w 1827 d 296200 WAC. <br /> � �L <br /> Signature ol Owner/Coniradod ulhorized Agent Date �/ <br /> L_---- -- /L <br />