Laserfiche WebLink
( � <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.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS 1 r I�e`� ` � �Je PARCEL TAX I.D.M ERMIT It'O 7 <br /> / <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRE93 CITYI2IP PNONE <br /> TENANT NAME �I�ZJC 7�j � CONTACT FOR PERMIT PMONE �7./7�/ <br /> 1 �q��t j���u yL�=y <br /> Q e,���s I-I Arre I I 3/�9 s��, �ei���f:-� -- <br /> CONTRACTOR5�hnsll Q���F •�/ ��-� ADDRESS CITYRIP PHONEy�'y�,�_���/ <br /> CONTR.LICENSEESGV1�NItRG1 PC �.C�. �C! ����'I I �fJcJ��t•�J�I�C�u��A. <br /> ��"0)� <br /> USE OF BUILDING 2 HEAT SOURCE CONTRACT PRICE OF WORK <br /> (��I _E�edric _Gas_Other ���� q �� <br /> WORKDESCRIPTION � Np�x-I o F 1�"rd �''^7 12•:•`r���y i��;•: �.Je�f SCt/�'�., e;�`M, <br /> ha� <br /> i.�l�t»ll 7_���y ika} Z�� ���>� . <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM N0. TYPE OF FI%TURE OR ITEM <br /> Toilet AIC—air handling units <br /> Bathlub Forced air systems <br /> _ Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Oishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Laundry tray _ Range hood <br /> Sink(service/barlmopletc.) _ Exhaust 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 Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TA)(CODE IS�/06 <br /> I hereby ceritiy that I have read and ezamined this application and know lhe same to be true and correct. All provisions of Iaws and <br /> ordinaces goveming this type of work will be complied with whelher specified herein or not.The granting of a pertnit does not presume <br /> to give aulhority to violale or cancel the provision of any olher state or local law regulating construction or the pedormance of <br /> conslructio�Tha m aulhorized by the owner of this property to perfo�m the work(or which application is mede and I comply with the <br /> State C tr ors La 18.27 RCW and 296.200 WAC. � <br /> �_ �f,jl��S <br /> � ' �� E <br /> Signat e o ner/Con c r/A thonzed Agent Date <br />