Laserfiche WebLink
?�RMIT APPLICATI��� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810-- FAX 425-257-8657-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 3 CREDIT CARDS ARE NOT�CEP�EO <br /> SITE ADDRE33 PARCEL TAX I.D./ 3g I IT• <br /> ���0�7 N�w��7 � �^�-io87i36 �U�{ o►� ob 5��`/ <br /> LEG LOTNO. BLOCN TRACT <br /> DESC. <br /> OWNER ADDRE33 P <br /> /�7��L- 8 wo��i i 707 HCws7y �►z' �9�N'-29;j-a8� <br /> TENANT NAME _,. ,Z�,� � �_ CONTACT FOR PERMR PHONE <br /> /a'�,� "3 �o•vti I /jiso�� 3 vire^�j C so 6) 6 7y 70/0 <br /> CONTRACTOR ��� � ��� ADDRESS CITY/ZIP �PH/ONE <br /> CONTR.LICENSE N <br /> � � 70 / NE�'�'7� �� �` / L4�S 1�J' � 8�� <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> � Q� S� _Electric _Ges_Other <br /> WORK DESCRIP ON <br /> WB�— jo� �/�lZ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIl(TURE OR ITEM NO. TYPE OF FIXTLRE OR ITEM <br /> Toilet AIC—air handling units <br /> Bathlub Forced afr systems <br /> Lavatory(wash basin) Gas piping <br /> Shower Water heater <br /> Kilchen sink 8 disposal Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Cbthes dryer <br /> Laundry tray _ Range hood <br /> � Sink(servicelbar/mop/etc.) Exheust fan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeratlon <br /> Grease trap Woodstove <br /> Roof drains Othet <br /> Olher <br /> CITY OF EVERETT LOCAL SALES 7Al(CODE IS J103 <br /> I hereby ceriGfy that I have read and examined thfs application and krww lhe same to be true and cortect. All provisbne of laws and <br /> ordinaces goveming this type ot work will be compl(ed wilh whether specifled hereln or not.The grandng of a pertnk doea rat preeume <br /> to give authority to violate ar cancel the provision of any other state or bca�law repuletlng conslructlon or the perfortnance of <br /> construction.That I am authorized by the owner of thfs property to pertortn the work for which applfcatlon is made and 1 compty wHh the <br /> State Contractors Law 18.27 RCW and 296200 WAC. <br /> r • <br /> .� [ / � [K�� � <br /> Signature of O er ontracto uthorize Agen ate 1 � <br />