Laserfiche WebLink
--� — <br /> PERMIT APPLI��ATIGnI <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 /> �,( n,� �j (� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.il PERMIT# <br /> ;� tz6 P�-�N � �=��. �u wa�r �vs,�goDo�/a � co�o �- 05� <br /> LEGAL LOT N� BLOCK TR/��R�DN�N N� 1^ <br /> DESC. � I� L_`e�/ _�.�- o�� <br /> OWHER ADORESS CITY2IP PHONE <br /> � I<b �(�0lJG' `�3olc � 8idi lZ�� a�� u� Uf�' ��� w�- R$�37 <br /> TENANT NAME I CONTACT FOR PERMIT PHONE <br /> W� L� E-MAIL <br /> � �,NT A OR A SS CITYI IP <br /> C�ON RILI ENSEp� ���r �fC��¢�-..S llC �i�IM1? � �-S �-dd��-' �6� """ ��./�e <br /> 0 <br /> USE OF BUILDING HEAT SOURCE I CONTRACT PRICE OF WORK <br /> SG� _Electric _Gas�Other <br /> / <br /> WORK DESCRIPTION <br /> � �ro�y 1�� iC ��� <br /> s-rP/�- 0�l-0�`6 4oXLy- zod}6 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C-air handling units <br /> 6athWb Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower 1Naler healer <br /> Kilchen sink&disposal _ Gas fireplace <br /> Dishwasher Gasrange <br /> Clolhes washer Clolhes dryer <br /> Water healer Range hood <br /> Sink(service/badmop/elc.) _ Exhausl fan <br /> �acMow preventer _ Heat pump <br /> Urinal Unil heater <br /> Drinking Fountain _ Boiler <br /> Floor drain Retrigeralion <br /> Grease Irap _ Woodstove <br /> Roof drains Other <br /> Other <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS 3105 <br /> I hereby ceritify thal I have read and examined this application and know lhe same to be true and correct. All provisions of laws and <br /> ordinaces governing this lype of work will be complied with whelher specified herein or nol The granling o(a permil does nol presume <br /> to give aulhority to vio�ale or cancel the provision of any other state or local law regulating conslrucfion or the perlormance ot <br /> conslruction.Thal I am authorized by the owner of lhis property to perform the work for which applicatior, �s mado and I comply with lhe <br /> Stalc Conlreclors Law 18.27 RCW and 296.200 WAC. <br /> - 61�10� <br /> i�'-�� �'`- � 'I <br /> Signature of OwnedCo lra tor/Au�honzed Agenl Dale L <br />