Laserfiche WebLink
dCRMIT APPLICATI(,!V <br /> CITY OF ����RETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, NrA 98201 <br /> 425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> (,( !�' i l" % APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT M <br /> ;�iz6 Pk�N � r-�� �� wa��r ?vS3� ODodi� v �o�o�-c�� <br /> LEGAL LOT NO. BLOCK TR T OR SUBDIV N N <br /> oEs�. / �u � �Pdf -�� _ <br /> OWNER ADDRESS CITYIZIP PHONE <br /> �Q I<bT0/�G� '7301c � 8id ► IZ�� a�� u> �Y� ��oa� w�- q8o3 ? <br /> TENANT NAME CONTACT FOR PERMIT PHONE <br /> W� L� E-MAIL <br /> T AC � � <br /> C.obblesTon�� cor3�Gr i1��/�� �(� �,Fwi � �-.r kDa�,� 206�^�26-���� <br /> CONTR.LICENSE# <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> SC� _Eleclric __Gas�( Other <br /> � >. <br /> WORK DESCRIPTION <br /> � �rd�y T�� ;�� �ya' <br /> SLP/�- D �"-o �`6 4-o X L�} 20 �6 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilel A/C—air hand�ing units <br /> Bathtub Forced air systems <br /> Lavalory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink 8 disposal _ Gas fireplace <br /> Dishwasher Gas range <br /> Clolhes washer Clolhes dryer <br /> Water heater Range hood <br /> Sink(service/badmopletc.) _ Exhaust fan <br /> Backllow prevenler _ Heal pump <br /> Urinal Unil heater <br /> Drinking Founlain _ Boiler <br /> Floor drain Re(rigeration <br /> Grease trap _ Woodstove <br /> Roof drains Olher <br /> Other <br /> CITY OF EVERE7T LOCAL SALES TNC CODE IS 3105 <br /> I hereby ceritify lhat I have read and examined this application and know the same lo be Irue and correct. All provisions of laws and <br /> ordinaces governinc�this type o(work will be complied with whether specified herein or noL The granling of a permit does nol presume <br /> lo give authorily to violale or cancel Ihe provision o(any other state or local law rec�ulating construction or lhe performance of <br /> conslruclion.Thal I am authorized by lhe o�vner of this property lo per(erm the work for which applicalion is mado and I comply with lhe <br /> State Contraclors Law 18.27 RCW and 296.200 WAC. ���� 0� <br /> l�—t b� �ti=- <br /> Signature o(OwnedCo tra lor/Authonzed Agent Date i / <br /> � � <br />