Laserfiche WebLink
. t � <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 <br /> SITE ADDRESS PARCEL TAX I.D.N PERMIT R <br /> a�c s-te.A;� ,i- n,.�. 3r� �3� ��i 10-DO <br /> LEGA LOTNO. BLOCK TRACTORSUBDIVISIONN <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> TENANT NAME CONTACT FOR PEHMIT PHONE <br /> �ueYe�t ��2��r Cz���t-c � I ' , «��)'iz"�cr-Cf'�'-ro <br /> �1"1�7f�Y1 Y�iGi`J�,IL�-5�' E�IAIL <br /> Z3ATFfA�:T <br /> {?�, i" Hcccl cu�c1 JUc.i� 3Yc`� Ci �CC� 1 �� t-v, �;,_,_,�e . � (dC4)�� ci - <br /> CONTR.UCENSE N J C?C`..�CLL �,�F� �IE�'J'1 C:rj O�l�I'O <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> Elec�ric Gas_Other <br /> WORKDESCRIPTION ���Tq„`.�prt-�cv� Cl� C�-�� ���?-�-L �`t"• 5 C-1Q7�f��=`� `� rz <br /> ,i�p r e �,Si c-�� �����r�.�-Y- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TVPE OF FlXTURE OR ITEM <br /> Toile� A/C-air handling unils <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water healer <br /> Kilchen sink 8 disposal _ Gas lireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clothes dryer <br /> Waler healer Range hood <br /> Sink(service/bar/mop/elc.) _ Exhaus�fan <br /> Backflow prevenler _ Heat pump <br /> Urinal Unil healer <br /> Drinking Fountain Boiler <br /> Floor drain Refrigeration <br /> Grease lrap _ Woodsiove <br /> Roof drains _ Other . <br /> Other _ i 1�ifP. CI�I:JI ',:IC; I J�SZZ-'Yl <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby cerilily that I have read and examined ihis application and know the same to be true and carrect. All provisions o1 laws and <br /> ordinaces governing this lype of work will be complied with whether specilied herein or not.The grenting o(a permit does not presume <br /> to give authority to violale or cancel ihe provision of any other slate or local law regulating construction or the pedormance of <br /> construction.That I am authorized by Ihe owner ol ihis pmpehy to pedorm�he work for which application is made and I comply with the <br /> Sla�e Contraclors Law iB.27 RCW and 296.200 WAC. <br /> yl�''�f)�lCl'k�( � : c (C�iS�C� <br /> Signature ol Owncr/ ntractodAulhorized Agent D te <br /> ��Z <br />