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.everettwa.org <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SRE ADDRESS PARCEL TAX I.D.t PERMIT N <br /> . 5� ' r� �rc.- . C��, '0�13GG�XJ! � � �� i v -��� <br /> �E�q LO7 pp, BLOdC TRACT OR SUBOIVISION 1 <br /> DESC. <br /> pWNEH ADDRE ILP PMONE <br /> , r v�=;z��,�z,�-513�15�'�. <br /> Ct�����z p /�o^n/TO y'f� 55�G f�A�2K���=w' lnJ �s,�c.,� <br /> TENANTN/WE CONTACTFOR�iiM1T ��??�/ [// [� <br /> Q .t� (J [(d <br /> D�'�1�� �nVCG(I� H+1NL <br /> I��d'NITG ��-i'�6G d�t�7(; /��-/� l3%�7`iA�c�_Gi� LS��r�Gi�.`YJDi(25-775-�Y6�� <br /> CONTR.LICENSE+IDA,y�nLTPNC��/yC'�r� %�s 7 <br /> USE OF BUILDINO I HEAT SOURCE CONTRACT PRICE OF WORK <br /> Electric �Gas_Other I `'�����'�� <br /> WORKDESCRIPTION �COLlaC�" �X�S�nIG� Gf15 /�'���h{E �i ", ��� <br /> C-�`t:s ,�-c+c,�.q�� .�nl �h^��. �a�A�7lvnl . <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FlXTURE OR RElA NO. TYPE OF FlXTURE OR REG <br /> Toilet NC—air handiing units <br /> Bathtub = Forced air systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower _ Water heater <br /> Ktchen sink 8 disposal _ Gas Iirepiace <br /> Dishwasher _ Gas range <br /> Clothes washer _ Clothes dryer <br /> Water heater _ Range hood <br /> Sink(servicelbar/mop/elc.) _ Euhaust lan <br /> Backllow prevenrer _ Heat pump <br /> Urinal _ Unit heater <br /> _ Drinking Fountain _ Boiler <br /> Floor drain _ Relrigeretion <br /> Grease trap _ W�dstove <br /> Rool drains _ O�her <br /> Olher — <br /> CRY OF EVERETT LOCAL SALES TAX COOE IS 9105 <br /> I hereby ceritily thal�have read and examined this application and know the same to be truo and correct. All provisions ol laws and <br /> ordinaces governing this type ol wark will be complied with whether specified herein or not.The granting of a permit dms not presume <br /> to give authority to vioiate or cancel the provision ol any other state a local law regulating construc6on or the performance of <br /> conslruction.That 1 am authorized by the awner ol this property to perfortn the wak for which application is made and I comply with the <br /> State Co�trectors Law 18.27 RC1N an 29 �0 WAC. <br /> �-'�n�;t�� `;t _��-�'%� �C 5 "�' � <br /> Signature ol�WnedConVactodAutho � d nl Date <br />