Laserfiche WebLink
i <br /> PtRMIT APPLICATIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org 3 — �g—�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT N <br /> ' /0 � , �{,nc� � n'lago 3- o�/ <br /> LEGAL LOT NO. BLOCK TRAI CT OR SUBDIVISION# <br /> DESC. <br /> OWNER ADDRESS CITY2IP PHONE <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> �� E�MfUL <br /> RA T R � t��III�N ���� - � UD E f6VrC� ��T�h� �.YNN�'lf^�-�D �; <br /> CONTR.LICENS 1! n�J/�� ��Q�� �/} �Q� c�},�`] <br /> lj UI !] I['3�L �/ <br /> USE OF BUILDING HEAT SOURCE NTRACT PRICE OF WORK <br /> _Eleclric �Gas_Other ���(,�'C.L, <br /> WORK DESCRIPTION <br /> PLUMBING � MECHANICAL <br /> NC. 7YPE OF FIXTURE OR ITEM NO. TYPE OF FI%TURE OR ITEM <br /> Toilel FUC—air handling unils <br /> Balhtub Forced air syslems <br /> _ Lavatory(wash basin) � Gas piping <br /> Shower � Water healer <br /> Kilchen sink 8 disposal Gas(ireplace <br /> Dishwasher Gas range <br /> Clolhes washer ' Clolhes dryer <br /> = Water healer � Range hood <br /> Sink(service/bar/mop/etc.) Exhausl fan <br /> �ackflo�v preventer _ Neat pump <br /> Urinal — Unit healer <br /> Drinkin� Founlain � Boiler <br /> Floor drain ' Refrigeration <br /> Greasc lrap = Woodstove <br /> Roof drains Olher <br /> Olher _ — <br /> CITY OF EVERETi LOCAL SAIES TAX CODE IS 3705 <br /> I hereby ceritify that I have read and examined lhis application and know the same to be true and correct. All provisions of laws and <br /> ordinaces governinc�this rype of�vork will be complied with wheiher specified herein or noL The granting of a permil does�ot presume <br /> lo give a tnoriry to violale or cancel Ihe pro si]y,�n of any other stale or local law regulating consWclion or the performance of <br /> conslruc n.That I am authorized by lhe wn�of this preperty to perform the work for which applir,alion is made and I comply wilh the <br /> State C dractors Law 182C d6.2 WAC. <br /> (� /. , it <br /> � ��� <br /> Signalu i OwActd on ract r A th rize gent Date <br />