Laserfiche WebLink
P��MIT APPLICATIO�� <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> SITE ADDRESS � ��f pARCEL TAX I.D.N I PEFj,MIT t1 _ � <br /> �2� �{ « vi <br /> f>4/7 <br /> LEGAL LOTNO. BLOCK iRACi <br /> DESC. <br /> OWNER ApDRESS CITY2IP PHONE <br /> �a,.�e,,, � .i{Wc�p�-v� P. o , �x �'o(lp �voV�-U �1,�, ,C3r.o) (o�T-o�f°/ <br /> TENANTNAME I CONTACTFORPERMIT PHONE <br /> CONTRACTOR ADDRESS CITY2IP PHONE <br /> CONTR.UCENSE�I UW y�,f' <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> _Electnc _Gas_Other <br /> WORK UESCRIPTION ,�Q�� �l ��� � /� � .�� �/� ��` -r�� � ��r <br /> �c.c_u.�dL, ` � J <br /> � R���_ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXiURE OR ITE64 <br /> _ Toiiet A/C—airhandlingunits <br /> _ Bathtub Forcedairsystems <br /> _ Lavatory(wash basin) Gas piping <br /> _ Shower Waterheater <br /> _ Kitchen sink 8 disposal Gas fireplace <br /> _ Dishwasher Gas range <br /> _ Clothes washer Clothes drver <br /> _ Laundry tray Range hood <br /> Sink(service/bar/mop/etc,) Exhaust fan <br /> _ Backflow preventer Heat pump <br /> _ Urinal Unit heater <br /> _ Drinking Fountain Boiler <br /> _ Floor drain Reftigeratlon <br /> _ Grease trap Woodstove <br /> _ Roof drains Other <br /> Qther — <br /> CITY OF EVERETf LOCAL SAIES 7A%CODE IS 3105 <br /> I hereby ceritify that I have read and examined this applicatlon and know the same to be true and comect. All provislons of laws and <br /> ordinaces governing this rype of work wil! ba complied with whether specified herein or not. The granting of a pertnit does not presume <br /> to give authority to violate or cancel the provision of any other state or local law regulating construcUon or the perfortnance of <br /> constructio That I am authorized by the owner of this property to perfortn the work for which applicatlon is made and I comply with the <br /> State Contractors w 1 .27 RCW and 296.200 WAC. <br /> <O �/S'-o <br /> Signa re of Ownerl c uthorized Agent Date <br />